Most Relevant Information
Provider Data
NPI Number: | 1003214453 |
Provider Name: | DIAMOND S HILL PP |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 12/17/2014 |
Last Updated: | 12/17/2014 |
Provider Practice Location
125 S ZACK HINTON PKWY
MCDONOUGH
GA
302533335
Practice Location Phone/Fax
Phone: | 6784323330 |
Fax: |
Provider Mailing Location
125 S ZACK HINTON PKWY
MCDONOUGH
GA
302533335
Provider Mailing Phone/Fax
Phone: | |
Fax: |