Individual
DR. JORGE MANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 303, JOHNSON CITY, TN 37604-6051
(423) 926-8181
(423) 926-4421
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65933
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
65933
TN
207RP1001X
Pulmonary Disease Physician
65933
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
04/19/2018
Last updated
01/26/2026
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