Diversified Medical Clinic, LLC
Diversified Medical Clinic, LLC is a Primary Care Clinic/Center in Temple, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
305 Carrollton StTemple, GA 30179-3796
Phone: (678) 830-2294
Fax: (678) 890-5840
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1932869856 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Latoya Buford — Nurse Practitioner/Owner · (678) 830-2294 |
| NPI enumerated | December 20, 2021 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 4, 2022 |
| Mailing address | 305 Carrollton St, Temple, GA 30179-3796 |