Individual
CARLOS A DIAZGRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-2440
Mailing address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-2440
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
049004
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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