Tandy, Diane S

Tandy, Diane S is an individual health care provider with primary practice located at 1285 Sims St , Gainesville GA 30501-3851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tandy, Diane S can be contacted via phone (770) 536-0149.

Contact Information

Primary practice address
1285 Sims St Gainesville GA 30501-3851
Phone: (770) 536-0149
Fax: (770) 536-0317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN093246 Georgia

Profile Details

NPI number 1154354884
LBN Legal business name Tandy, Diane S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Aug 22nd, 2013 - about 12 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 1154354884 NPPES
Georgia Other 202I422022 MEDICARE - GEORGIA
Georgia Other 5002152 MEDICARE - GEORGIA
Georgia MEDICAID 000651868K MEDICARE - GEORGIA
Georgia MEDICAID 000651868F MEDICARE - GEORGIA
Georgia Other 000651868D OR F MEDICARE - GEORGIA
Georgia Other 332884 MEDICARE - GEORGIA
Georgia MEDICAID 000651868C MEDICARE - GEORGIA
Georgia MEDICAID 000651868D MEDICARE - GEORGIA

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