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Diana Park

NPI 1831052760 · on the registry since 2025

Practice

Address
310 Research Dr Apt 1102
Athens, GA 30605
Phone
(571) 707-1638

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia