NPI 1245837293

Diego Gabriel Deharo, PAC

Practitioner Physician Assistant Calhoun, GA

Practice location

Address: 400 Timms Rd NE, Calhoun, GA 30701-7016
Phone: (706) 602-3100
Fax: (706) 602-3101
Mailing address: PO Box 12938, Calhoun, GA 30703-7013

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1163121 (GA)

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Registry record

NPI: 1245837293
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2020
Record last updated: 2 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.