# DIABETES, ENDOCRINE AND INTERNAL MEDICINE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326143306
- **Authorized official:** SHERRY L SALLE (BUSINESS MANAGER)
- **Authorized official phone:** (804) 272-7565

## Contact information

- **Practice address:** 1475 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
- **Practice address phone:** (804) 272-7564
- **Practice address fax:** (804) 272-9325
- **Mailing address:** 1475 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
- **Mailing address phone:** (804) 272-7564
- **Mailing address fax:** (804) 272-9325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0101026634 | VA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101025435 | VA | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 0101237679 | VA | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/08/2014