Adebulehin, Diana Spock

Adebulehin, Diana Spock is an individual health care provider with primary practice located at 1014 Sycamore Dr Ste. B, Decatur GA 30030-1644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Adebulehin, Diana Spock can be contacted via phone (404) 299-1700.

Contact Information

Primary practice address
1014 Sycamore Dr Ste. B Decatur GA 30030-1644
Phone: (404) 299-1700
Fax: (404) 299-1616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004458 Georgia

Profile Details

NPI number 1700965159
LBN Legal business name Adebulehin, Diana Spock
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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