Individual
MRS. DIANE DANIEL RODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 PENINSULA DR, NEWNAN, GA 30263-6089
(678) 458-0214
Mailing address
375 PENINSULA DR, NEWNAN, GA 30263-6089
(678) 458-0214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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