Individual
DR. DIADRA MICHELLE BILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
792 CHURCH ST NE, MARIETTA, MARIETTA, GA 30060-8954
(770) 422-9856
(770) 984-0303
Mailing address
792 CHURCH ST NE, MARIETTA, MARIETTA, GA 30060-8954
(770) 422-9856
(770) 984-0303
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO2758
FL
213E00000X
Podiatrist
Primary
POD000932
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0940220002
DMERC
GA
01
—
7101735
AETNA
—
Enumeration date
02/08/2006
Last updated
04/12/2011
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