Individual
DIOSITA WATIN LARIOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,P.C.
Contact information
Practice address
513 W 2ND AVE, ALBANY, GA 31701-2204
(229) 432-7444
(229) 432-7445
Mailing address
513 W 2ND AVE, ALBANY, GA 31701-2204
(229) 432-7444
(229) 432-7445
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
21325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000236959A
PEACHSTATE MEDICAID
GA
05
—
000236959A
—
GA
01
—
336022
WELLCARE MEDICAID
GA
Enumeration date
01/30/2007
Last updated
04/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us