Twiggs, Diana R

Twiggs, Diana R is an individual health care provider with primary practice located at 1888 S 14Th St Credentialing Department, Fernandina Beach FL 32034-3054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Twiggs, Diana R can be contacted via phone (904) 261-0922.

Contact Information

Primary practice address
1888 S 14Th St Credentialing Department Fernandina Beach FL 32034-3054
Phone: (904) 261-0922
Fax: (904) 277-8872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 78633 Florida

Profile Details

NPI number 1124002522
LBN Legal business name Twiggs, Diana R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 31st, 2018 - 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 1124002522 NPPES
Florida MEDICAID 2735903-00
Florida Other P00253287

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