Individual
DAVID DIDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 COUNTRY CLUB DR, 200, STOCKBRIDGE, GA 30281-9069
(770) 228-5407
Mailing address
290 COUNTRY CLUB DR STE 200, STOCKBRIDGE, GA 30281-9022
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4999
GA
Other
Enumeration date
02/06/2013
Last updated
02/24/2013
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