Individual
DIANA SERJANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
205 AUTRY RD, AUBURN, GA 30011-3240
(404) 909-4323
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN269150
GA
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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