Jimmy Diaz Md Pc is a Medical in Kingsland, Georgia. Jimmy Diaz Md Pc practices all healthcare services and medical treatments related to Medical. The NPI Number for Jimmy Diaz Md Pc is 1649479536. The last update date is 2008-08-01.
Jimmy Diaz Md Pc's current location address is 130 N Gross Rd, Kingsland, Georgia. You can contact this provider via phone number 9127296606 and fax number 9127291214. The mailing address for Jimmy Diaz Md Pc is 130 N Gross Rd, Kingsland, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jimmy Diaz Md Pc |
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Address | 130 N Gross Rd, Kingsland, Georgia |
Phone Number | 9127296606 |
Fax Number | 9127291214 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Diaz Jimmy |
Credentials | M.D. |
Telephone Number | 9127296606 |
NPI Number Detail
NPI Number | 1649479536 |
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Provider Enumeration Date | 2007-07-12 |
Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
Address | 130 N Gross Rd |
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City | Kingsland |
State | Georgia (GA) |
Post Code | 31548 |
Phone Number | 9127296606 |
Fax Number | 9127291214 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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000320581E | GA | -- |
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What is the unique identification code assigned to Jimmy Diaz Md Pc by the Centers for Medicare & Medicaid Services?
The Jimmy Diaz Md Pc has been issued the NPI (National Provider Identifier) 1649479536. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jimmy Diaz Md Pc?
The Jimmy Diaz Md Pc is physically situated at 130 N Gross Rd, in the city of Kingsland, state of GA, with the postal code 31548.
What is Jimmy Diaz Md Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jimmy Diaz Md Pc is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When did the Jimmy Diaz Md Pc receive its 1649479536?
The Jimmy Diaz Md Pc was issued its 1649479536 on 2007-07-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jimmy Diaz Md Pc most recently updated or revised?
The information pertaining to Jimmy Diaz Md Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-01.