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Individual

CRISTY DIAZ MAGDARAOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Contact information

Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
372 WILLIAMSON ST SE, MARIETTA, GA 30060-2483
(404) 542-0103

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8930
GA

Other

Enumeration date
08/30/2018
Last updated
10/24/2018
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