Individual
DR. ELOY EDILBERTO DIAZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6572 RIVER PARK DR STE 102, RIVERDALE, GA 30274-2214
(770) 629-2296
Mailing address
3144 NOAHS ARK RD, JONESBORO, GA 30236-6229
(770) 478-8278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022956
GA
Other
Enumeration date
05/08/2006
Last updated
11/19/2021
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