Individual
DR. RICHARD A. DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3525 LAWRENCEVILLE SUWANEE RD, SUITE 102, SUWANEE, GA 30024-2410
(770) 614-9599
(770) 614-9597
Mailing address
3525 LAWRENCEVILLE SUWANEE RD, SUITE 102, SUWANEE, GA 30024-2410
(770) 614-9599
(770) 614-9597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCGZZ
MEDICARE
GA
Enumeration date
07/03/2006
Last updated
12/27/2010
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