Individual
DIAMOND POUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5223 RIVERSIDE DR STE 101, MACON, GA 31210-0889
(844) 893-0012
(615) 278-3355
Mailing address
PO BOX 12369, MURFREESBORO, TN 37129-0048
(844) 893-0012
(615) 278-3355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN323478
GA
Other
Enumeration date
09/11/2023
Last updated
11/20/2025
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