The Diabetes Center, Pllc

NPI 1043391436 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1043391436
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KATHLEEN C KATHLEEN
Position OWNER
Phone (228) 875-3606
Fax (228) 875-3687
Practice Location
3099 BIENVILLE BLVD
OCEAN SPRINGS MS, 39564-4308, US
Phone (228) 875-3606
Fax (228) 875-3687
Business Location
3099 BIENVILLE BLVD
OCEAN SPRINGS MS, 39564-4308, US
Phone (228) 875-3606
Fax (228) 875-3687
Toxanomy
Taxonomy Code 363LA2200X
License State Mississippi
License Number R854239
Remove 1043391436 NPI Number
 

According to our database, The Diabetes Center, Pllc NPI is 1043391436, taxonomy code is 363LA2200X and license number is R854239, license state is located at Mississippi. The Diabetes Center, Pllc physically located at 3099 Bienville Blvd, Ocean Springs MS, 39564-4308. NPI Number 1033115704 has the healthcare provider type.

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1043391436 NPI number is provided on an as is basis without warranty of any kind. 1043391436 is maintained by the National Plan & Provider Enumeration System. The contents of The Diabetes Center, Pllc are for informational purposes only.