Fallon, Diego
Fallon, Diego is an individual health care provider with primary practice located at 5775 Peachtree Dunwoody Rd Ste 425 , Atlanta GA 30342-1556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Fallon, Diego can be contacted via phone (844) 403-4325.Contact Information
Primary practice address
5775 Peachtree Dunwoody Rd Ste 425
Atlanta GA 30342-1556
Phone: (844) 403-4325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME53500 | Florida |
Profile Details
| NPI number | 1932174794 |
|---|---|
| LBN Legal business name | Fallon, Diego |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932174794 | NPPES |
| Florida | MEDICAID | 264091100 |
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