Individual
MARTHA GENEVIEVE TAWAH-DIAKITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1987 HILTON RD, BURLINGTON, NC 27217-2968
(336) 226-0848
Mailing address
1987 HILTON RD, BURLINGTON, NC 27217-2968
(336) 226-0848
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
319658
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5013145
NC
Other
Enumeration date
05/09/2020
Last updated
01/03/2023
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