Individual
DIANA L VARGAS VIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
285 BOULEVARD NE, NEUROLOGY, ATLANTA, GA 30312-4205
(404) 653-0039
Mailing address
3668 CANYON RIDGE CT NE, ATLANTA, GA 30319-4823
(404) 400-2269
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
071580
GA
Other
Enumeration date
06/08/2007
Last updated
10/28/2014
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