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Sara Diosdado, PA

Physician Assistant in Gainesville, GA. Individual provider (NPI-1).

NPI number1124307673
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1124307673
Entity type
Individual (NPI-1)
Name
Sara Diosdado
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2011
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant6311GAYes
363AM0700X Physician Assistant, Medical––

Practice location

200 S Enota Dr Ne Ste 100
Gainesville, GA 30501-3466

Phone 770-219-0950

Mailing address

Po Box 742616
Atlanta, GA 30374-2616

Phone 770-219-8420

Other practice locations

743 Spring St Ne
Gainesville, GA 30501-3715

Phone 770-536-2146

465 Winn Way Ste 221
Decatur, GA 30030-1723

Phone 678-542-7070

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