Diaz-Cardenas, Melina Paola

Diaz-Cardenas, Melina Paola is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 500C, Fayetteville GA 30214-4548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Diaz-Cardenas, Melina Paola can be contacted via phone (678) 435-3040.

Contact Information

Primary practice address
1265 Highway 54 W Suite 500C Fayetteville GA 30214-4548
Phone: (678) 435-3040
Fax: (678) 435-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 001215 Georgia

Profile Details

NPI number 1548422843
LBN Legal business name Diaz-Cardenas, Melina Paola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated May 12th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548422843 NPPES
Georgia MEDICAID 003116920B

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