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Organization
ABS DIABETES CENTER
Active
Organization
ABS DIABETES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HAYNES (DIRECTOR)
(803) 238-1800
Entity
Organization
Contact information
Practice address
104 SNOW RD, COLUMBIA, SC 29223-6368
(803) 238-1800
(803) 749-8759
Mailing address
7821 SAINT ANDREWS RD, #704, IRMO, SC 29063-4220
(803) 238-1800
(803) 749-8750
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
NULL
103TE1100X
Exercise & Sports Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
251300000X
Local Education Agency (LEA)
—
NULL
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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