Organization · Type 2 NPI

Diabetes & Endocrine Treatment Center

Medical Specialty Clinic/Center · Waycross, GA

NPI number 1528396702 Active

Practice location

2005 Pioneer St, Suite C
Waycross, GA 31501-6206

Fax (912) 285-8533

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X035482 (GA)

Medical Specialty Clinic/Center: 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).

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About NPI 1528396702

Diabetes & Endocrine Treatment Center's National Provider Identifier is 1528396702, issued on Nov 25, 2009. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Waycross, GA. The record was last updated on Nov 25, 2009.