Diana Stillwagon in Chamblee - Surgery

Diana Stillwagon - NPI 1407814015

Diana Stillwagon is a Surgery in Chamblee, Georgia. Diana Stillwagon practices all healthcare services and medical treatments related to Surgery. The NPI Number for Diana Stillwagon is 1407814015. The last update date is 2007-07-08.

Diana Stillwagon's current location address is 3190 Northeast Expwy Access Rd, Chamblee, Georgia. You can contact this provider via phone number 7704515990. The mailing address for Diana Stillwagon is 3190 Northeast Expwy Access Rd, Chamblee, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Stillwagon
Address 3190 Northeast Expwy Access Rd, Chamblee, Georgia
Phone Number 7704515990
Fax Number
Sole Proprietor X
Credentials RN

NPI Number Detail

NPI Number 1407814015
Provider Enumeration Date 2006-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3190 Northeast Expwy Access Rd
City Chamblee
State Georgia (GA)
Post Code 30341
Phone Number 7704515990
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 146008
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Diana Stillwagon

What is the unique identifier code issued to Diana Stillwagon by the Centers for Medicare & Medicaid Services (CMS)?

The Diana Stillwagon has been assigned the NPI (National Provider Identifier) 1407814015. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Diana Stillwagon's physical address?

The Diana Stillwagon is physically located at 3190 Northeast Expwy Access Rd, in the city of Chamblee, GA, with the postal code 30341.

What is the area of specialization for Diana Stillwagon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Diana Stillwagon is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1407814015 to Diana Stillwagon?

The Centers for Medicare & Medicaid Services assigned the 1407814015 to Diana Stillwagon on 2006-05-03.

As of what date was the information pertaining to Diana Stillwagon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Diana Stillwagon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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