Individual
DIANA RODGERS-SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 S 8TH ST, PATHOLOGY DEPT, GRIFFIN, GA 30224
(770) 229-6476
(678) 688-2405
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49204
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000942884A
—
GA
Enumeration date
04/12/2006
Last updated
10/30/2019
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