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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932174794 NPPES
Florida MEDICAID 264091100

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