Individual
MARIAMA DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3424 FLAT SHOALS RD, DECATUR, GA 30034-6525
(404) 968-8269
(404) 968-8274
Mailing address
245 PARK HAVEN LN, TYRONE, GA 30290-1719
(678) 541-1187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN216662
GA
Other
Enumeration date
05/12/2020
Last updated
03/27/2024
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