# DIABETES AND ENDOCRINOLOGY ASSOCIATES EAST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIABETES AND ENDOCRINOLOGY ASSOCIATES, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831758846
- **Legal business name:** DIABETES AND ENDOCRINOLOGY ASSOCIATES, P.C.
- **Authorized official:** DR. DAVID H JACOBSON M.D. (PRESIDENT)
- **Authorized official phone:** (404) 299-2223

## Contact information

- **Practice address:** 1501 MILSTEAD RD NE STE 100, CONYERS, GA 30012-3849
- **Practice address phone:** (770) 388-0118
- **Practice address fax:** (770) 388-9441
- **Mailing address:** 2665 N DECATUR RD STE 520, DECATUR, GA 30033-6146
- **Mailing address phone:** (404) 299-2223
- **Mailing address fax:** (404) 297-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 09/20/2022
