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Dr. Diane Lea Masters, M.D.

Emergency Medicine in Pooler, GA. Individual provider (NPI-1).

NPI number1447489554
StatusActive
Last updated in NPPESOct 11, 2013

Details

NPI
1447489554
Entity type
Individual (NPI-1)
Name
Dr. Diane Lea Masters
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2009
Last updated
Oct 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine4301031066MIYes
207Q00000X Family Medicine4301031066MI

Practice location

463 Pooler Pkwy
# 189
Pooler, GA 31322-5102

Phone 912-330-8813

Mailing address

463 Pooler Pkwy
# 189
Pooler, GA 31322-5102

Phone 912-330-8813

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