Provider Demographics
NPI:1578293239
Name:DIJUSTE, CLAUDE M
Entity Type:Individual
Prefix:MR
First Name:CLAUDE
Middle Name:M
Last Name:DIJUSTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-5543
Mailing Address - Country:US
Mailing Address - Phone:470-497-8399
Mailing Address - Fax:
Practice Address - Street 1:203 SANDSTONE DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-5543
Practice Address - Country:US
Practice Address - Phone:470-497-8399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile