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1104934074
VANESSA A DIAZ
CHARLESTON, SC
NPI
1104934074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 23349)
Enumeration Date
2006-08-29
Last Update Date
2020-10-08
Business Address
VANESSA A DIAZ MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
VANESSA A DIAZ MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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