Jimmy Diaz Md Pc

LBN: Jimmy Diaz Md Pc
Jimmy Diaz Md Pc is an health care organization with primary practice located at 130 N Gross Rd Suite 202, Kingsland GA 31548. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Jimmy Diaz Md Pc can be contacted via phone (912) 729-6606, or through Diaz, Jimmy via phone (912) 729-6606.

Contact Information

Primary practice address
130 N Gross Rd Suite 202 Kingsland GA 31548
Fax: (912) 729-1214
Website:
Authorized official contact:
Name: Diaz, Jimmy Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1649479536
LBN Legal business name Jimmy Diaz Md Pc
DBA Doing business as
Authorized official Diaz, Jimmy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Aug 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649479536 NPPES
Georgia MEDICAID 000320581E

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