Southern Diabetes Management

NPI 1194709667 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1194709667
Enumeration Date 11/30/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ELANA S ELANA
Position PRESIDENT - OWNER
Phone (706) 653-6524
Fax (706) 317-5432
Practice Location
9000 MOORE RD
COLUMBUS GA, 31904-1292, US
Phone (706) 653-6524
Fax (706) 317-5432
Business Location
1331 10TH AVE,
BLDG. 133
COLUMBUS GA, 31904, US
Phone (706) 653-6524
Fax (706) 317-5432
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Southern Diabetes Management NPI is 1194709667, taxonomy code is 332B00000X Southern Diabetes Management physically located at 9000 Moore Rd, Columbus GA, 31904-1292. NPI Number 1033115704 has the healthcare provider type.

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1194709667 NPI number is provided on an as is basis without warranty of any kind. 1194709667 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Diabetes Management are for informational purposes only.