Individual
SANDRA ANN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 CANTON RD NE STE 200, MARIETTA, GA 30060-7258
(770) 426-3088
Mailing address
709 CANTON RD NE STE 200, MARIETTA, GA 30060-7258
(770) 426-3088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728571B
—
GA
Enumeration date
10/26/2006
Last updated
04/08/2008
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