1902939440 NPI number — DR. DIONE MARIE HAUGHTON PHARM.D.

Table of content: DR. DIONE MARIE HAUGHTON PHARM.D. (NPI 1902939440)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902939440 NPI number — DR. DIONE MARIE HAUGHTON PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAUGHTON
Provider First Name:
DIONE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CENTRELLA
Provider Other First Name:
DIONE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902939440
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/16/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
481 GLOUCHESTER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOCUST GROVE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30248-2081
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-229-7430
Provider Business Mailing Address Fax Number:
770-229-7435

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1524 GA-16
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRIFFIN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-229-7430
Provider Business Practice Location Address Fax Number:
770-229-7435
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  022604 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 183500000X . This is a "PHARMACIST" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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