Individual
JOSEPH JAMES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
538 J M ASH DR, HOLLY SPRINGS, MS 38635-3238
(662) 252-1599
(662) 252-1986
Mailing address
538 J M ASH DR, HOLLY SPRINGS, MS 38635-3238
(662) 252-1599
(662) 252-1986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18691
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05905731
—
MS
Enumeration date
03/06/2007
Last updated
07/08/2007
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