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Organization
DIABETIC CARE CLINIC
Active
Organization
DIABETIC CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE EMERSON (OFFICE MANAGER)
(205) 468-3355
Entity
Organization
Contact information
Practice address
1530 US HIGHWAY 43, WINFIELD, AL 35594-5056
(205) 487-7730
Mailing address
1530 US HIGHWAY 43, WINFIELD, AL 35594-5056
(205) 487-7730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1048518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529916790
—
AL
Enumeration date
03/22/2007
Last updated
06/24/2008
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