National Provider Identifier Database

DIABETES ENDOCRINE TREATMENT CENTER
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

DIABETES & ENDOCRINE TREATMENT CENTER
2005 PIONEER ST
SUITE C
WAYCROSS, GA31501-6206
Phone: 912-284-9888
Fax: 912-285-8533
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for DIABETES & ENDOCRINE TREATMENT CENTER

NPI Number 1528396702
Legal business name
LBN
DIABETES & ENDOCRINE TREATMENT CENTER
Authorized official DENISE MORRIS - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 11/25/2009
Last updated 11/25/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 035482

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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