| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DIAMOND POUNCIL | 1588441976 | 2023-10-24 |
Diamond Pouncil is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588441976. Registration indicates Diamond Pouncil is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Diamond Pouncil NP |
| Practice Office Address | 1425 GEORGIA AVE MACON, GA US |
| Practice Office Telephone | 4782501325 |
| Practice Office Fax | 4782546860 |
| Mailing Address | 1425 GEORGIA AVE STE 201A MACON, GA 312016546 US |
| Business Telephone | 4782345767 |
| Business Fax | 4782546860 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | RN323478
GA |