Eloy Edilberto Diaz SR. M.D.

NPI 1063461051 - Internal Medicine - 207R00000X

NPI Details
NPI 1063461051
Gender Male
Enumeration Date 05/08/2006
Last Updated 01/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
315 UPPER RIVERDALE RD SW
RIVERDALE GA, 30274-2500, US
Phone (770) 991-1050
Fax
Business Location
3144 NOAHS ARK RD
JONESBORO GA, 30236-6229, US
Phone (770) 478-8278
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 022956
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According to our database, Dr. Eloy Edilberto Diaz SR. M.D. NPI is 1063461051, taxonomy code is 207R00000X and license number is 022956, license state is located at Georgia. Eloy Edilberto Diaz SR. M.D. physically located at 315 Upper Riverdale Rd Sw, Riverdale GA, 30274-2500. NPI Number Eloy Edilberto Diaz SR. M.D. has the Individual type.

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1063461051 NPI number is provided on an as is basis without warranty of any kind. 1063461051 is maintained by the National Plan & Provider Enumeration System. The contents of Eloy Edilberto Diaz SR. M.D. are for informational purposes only.