Individual
DR. DIANE ELIZABETH DUNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 COLLEGE AVE, ATHENS, GA 30601-2635
(706) 546-5526
(706) 546-5687
Mailing address
1120 VICTORIA XING, WATKINSVILLE, GA 30677-2131
(706) 769-4947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29631
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
29631
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00342757A
—
GA
Enumeration date
01/04/2007
Last updated
08/25/2021
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