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
Phone: (912) 729-6606
Fax: (912) 729-1214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26097 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Georgia |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649479536 | NPPES |
Georgia | MEDICAID | 000320581E |
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