# DELMARVA DIABETES CENTER, LLC

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

## Provider details

- **NPI number:** 1386296531
- **Authorized official:** CAROLINE G MANSY NP (OWNER)
- **Authorized official phone:** (443) 978-3000

## Contact information

- **Practice address:** 1340 BELMONT AVE UNIT 503, SALISBURY, MD 21804-4590
- **Practice address phone:** (443) 978-3000
- **Mailing address:** 1340 BELMONT AVE UNIT 503, SALISBURY, MD 21804-4590
- **Mailing address phone:** (443) 978-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2019
- **Last updated:** 01/02/2020