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BETSY DIAZ FNP-C

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1104356302

Individual Registrant:
 BETSY  DIAZ FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
67 W RAILROAD ST  SHELLMAN, GA 39886-3100 US
Tel: 229-679-2100  Fax: --

Contact information for business:
67 W RAILROAD ST  SHELLMAN, GA 39886-3100 US
Tel: 229-679-2100  Fax: --

Registration Information:
NPI: 1104356302
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN133959

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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