=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841340668
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DON GREY DIGGS LIC. ACUPUNCTURIST
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2007
-----------------------------------------------------
Last Update Date | 05/12/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8218 WISCONSIN AVE SUITE 304
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20814-3107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-654-9369
-----------------------------------------------------
Fax | 301-654-8552
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5009 DURHAM RD E
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21044-1420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-807-5770
-----------------------------------------------------
Fax | 410-740-2581
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | U00831
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------