DIANE GOODMAN WAITS

ATHENS, AL
NPI1063789139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-035719)
Enumeration Date2011-11-17
Last Update Date2016-02-02
Business Address
-- DIANE GOODMAN WAITS NP
700 W MARKET ST
ATHENS, AL 35611-2457
Phone number: 800-893-9698
Mailing Address
-- DIANE GOODMAN WAITS NP
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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