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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVERSIFIED MEDICAL CLINIC, LLC

Active Organization

DIVERSIFIED MEDICAL CLINIC, LLC is a Primary Care Nurse Practitioner organization located in TEMPLE, Georgia. NPI 1932869856 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · TEMPLE, GA

Registration Details

NPI Number
1932869856
Provider Type
Organization
NPI Issued
Dec 20, 2021 (4.6435403414213 yrs)
Last Updated
Nov 4, 2022

Practice Information

Address
305 CARROLLTON ST
TEMPLE, GA, 301793796
Browse GA providers · Browse ZIP 30179
Phone
6788302294
Fax
6788905840
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.