License holder summary

DIAZ, MAMIE DEE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for DIAZ, MAMIE DEE is 95 COLLIER ROAD, NW SUITE 4085, Atlanta 30309. This doctor license is not current. The license was granted 11/07/2008 and expired on 11/30/2011.

Georgia

Composite Medical Board

DIAZ, MAMIE DEE
Medical - Physician Assistant
License number
005472
Date granted
11/07/2008
Date expires
11/30/2011
Class
Medical - Physician Assistant
Status
Lapsed
Address
95 COLLIER ROAD, NW SUITE 4085
georgiadoctors.net
ID 38097593
LAST UPDATED 2024-03-23 20:27:31 UTC

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