Diana Stillwagon, RN is a
Surgery physician based in Chamblee, Georgia. Diana Stillwagon is licensed to practice in Georgia (license number 146008) and her current practice location is 3190 Northeast Expwy Access Rd, Chamblee, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 451-5990.
NPI number for Diana Stillwagon is 1407814015 and her current mailing address is 4157 Darby Way, Duluth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407814015.
Physician's Profile
| Full Name | Diana Stillwagon |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 3190 Northeast Expwy Access Rd, Chamblee, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407814015
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Diana Stillwagon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407814015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 146008 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Stillwagon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diana Stillwagon, RN
4157 Darby Way,
Duluth, GA 30096
Ph: () - | Diana Stillwagon, RN
3190 Northeast Expwy Access Rd,
Chamblee, GA 30341
Ph: (770) 451-5990 |
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