DIAZ CLARK

PEACHTREE CITY, GA
NPI1164185468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN144424)
Enumeration Date2021-10-14
Last Update Date2021-12-08
Business Address
DIAZ CLARK FNP
101 LEXINGTON CIR
PEACHTREE CITY, GA 30269-6845
Phone number: 770-534-6299
Mailing Address
DIAZ CLARK FNP
101 LEXINGTON CIR
PEACHTREE CITY, GA 30269-6845
Phone number: 770-486-1639
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