Individual
DIEGO CONDES DIEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-9858
(252) 847-7620
Mailing address
2100 STANTONSBURG RD FL 3, GREENVILLE, NC 27834-2818
(252) 847-9858
(252) 847-7620
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2019-00157
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760802540
—
ND
Enumeration date
04/21/2014
Last updated
01/10/2022
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