Individual
DIYA THERESA JOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01744
NC
208000000X
Pediatrics Physician
2021-01744
NC
208M00000X
Hospitalist Physician
2021-01744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669908380
—
NC
Enumeration date
05/02/2017
Last updated
08/23/2021
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