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Organization
DIABETES CARE CENTER
Active
Organization
DIABETES CARE CENTER
Active
Other names
Diabetes Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JETE EDMISSON (VICE PRESIDENT OF FINANCE)
(256) 737-2595
Entity
Organization
Contact information
Practice address
1792 AL HIGHWAY 157, CULLMAN, AL 35058-3622
(256) 737-2025
(256) 737-2829
Mailing address
1792 AL HIGHWAY 157, CULLMAN, AL 35058-3622
(256) 737-2025
(256) 737-2829
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010049
BLUE CROSS
AL
05
—
H0S0035H
—
AL
Enumeration date
11/02/2005
Last updated
08/22/2020
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