Deharo, Diego Gabriel

Deharo, Diego Gabriel is an individual health care provider with primary practice located at 400 Timms Rd Ne , Calhoun GA 30701-7016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Deharo, Diego Gabriel can be contacted via phone (706) 602-3100.

Contact Information

Primary practice address
400 Timms Rd Ne Calhoun GA 30701-7016
Fax: (706) 602-3101
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1163121 Georgia

Profile Details

NPI number 1245837293
LBN Legal business name Deharo, Diego Gabriel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2020
Last updated Oct 2nd, 2020 - about 4 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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