Diego Gabriel Deharo, PA-C
Physician Assistant in Calhoun, GA. Individual provider (NPI-1).
NPI number1245837293
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1245837293
- Entity type
- Individual (NPI-1)
- Name
- Diego Gabriel Deharo
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1163121 | GA | Yes |
Practice location
400 Timms Rd NeCalhoun, GA 30701-7016
Phone 706-602-3100 · Fax 706-602-3101
Mailing address
Po Box 12938Calhoun, GA 30703-7013
Phone 706-602-7800
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