Individual
ERICA DIOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2844 BARRETT AVE, MACON, GA 31206-4834
(478) 731-9971
(770) 785-9882
Mailing address
2844 BARRETT AVE, MACON, GA 31206-4834
(478) 731-9971
(770) 785-9882
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
033840149
GA
Other
Enumeration date
01/16/2008
Last updated
03/20/2009
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