Individual
DR. ESMERALDO DIAZ HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-9999
(931) 722-2049
Mailing address
101 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-9999
(931) 722-2049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25806
TN
207R00000X
Internal Medicine Physician
Primary
25806
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085092
—
TN
05
—
3710089
—
TN
Enumeration date
01/05/2006
Last updated
07/10/2019
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