MEDICARE: GIA M DIGIACOMO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1316899875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIA M DIGIACOMO

Provider Business Mailing Address
First Line	:	5626 LANSDOWNE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-3834
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 ROSEWOOD RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30032-7017
Country	:	US
Telephone Number	:	470-763-5282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ GIA M DIGIACOMO ” Practice Location

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