Individual
DR. DIANA RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1093 DIETRICH LN, NORTH AUGUSTA, SC 29860-7722
(404) 200-4034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13850
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13850
RESIDENCY TRAINING PERMIT
GA
Enumeration date
06/18/2022
Last updated
06/18/2022
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