Provider Demographics
NPI:1649560897
Name:ESSIEN, JOYCE DIAN (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:DIAN
Last Name:ESSIEN
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 FOREST PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2165
Mailing Address - Country:US
Mailing Address - Phone:404-362-1310
Mailing Address - Fax:404-629-2598
Practice Address - Street 1:381 FOREST PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2165
Practice Address - Country:US
Practice Address - Phone:404-362-1310
Practice Address - Fax:404-629-2598
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015250207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine