Dean, Diana K
Dean, Diana K is an individual health care provider with primary practice located at 1900 Riverside Pkwy , Lawrenceville GA 30043-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dean, Diana K can be contacted via phone (770) 237-3475.Contact Information
Primary practice address
1900 Riverside Pkwy
Lawrenceville GA 30043-5925
Phone: (770) 237-3475
Fax: (770) 237-3756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002262 | Georgia |
Profile Details
| NPI number | 1598765950 |
|---|---|
| LBN Legal business name | Dean, Diana K |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jan 29th, 2008 - about 16 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 | 1598765950 | NPPES |
| Georgia | Other | 970027445 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 100002412A | RAILROAD MEDICARE |
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