| Ms Diana Diaz, PA | |
|
2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | |
| (229) 228-4136 | |
| Not Available |
| Full Name | Ms Diana Diaz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2705 E Pinetree Blvd Ste A, Thomasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932613551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9111016 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | PENDING (Florida) | Secondary |
| 363A00000X | Physician Assistant | 008816 (Georgia) | Primary |
| Entity Name | Georgia Em-i Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851569560 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
| Entity Name | John D Archbold Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diana Diaz, PA 510 Carriage Dr, Bethlehem, GA 30620-3240 Ph: (678) 287-6166 | Ms Diana Diaz, PA 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 Ph: (229) 228-4136 |
Mr. William B Hooks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 |
Mr. William L Dougherty, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 615 S Hansell St, Thomasville, GA 31792 Phone: 229-226-2234 Fax: 229-226-2237 |
Deuel C Mcelreath Iv, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 |
Ronald Lindquist, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120 |
Lauren Powell Musgrove, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 505 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-3060 Fax: 855-460-8658 |
Ms. Catherine W Howell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 |
William W Brazil, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-9141 Fax: 229-228-0637 |