Organization
SOUTHEAST DIABETES, INC.
Active
Organization
SOUTHEAST DIABETES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CARTER (OWNER/OPERATOR)
(205) 783-5111
Entity
Organization
Contact information
Practice address
11 INVERNESS CENTER PKWY, BIRMINGHAM, AL 35242-4823
(205) 783-5111
(888) 470-6890
Mailing address
31 INVERNESS CENTER PKWY STE 400, BIRMINGHAM, AL 35242-4823
(205) 783-5111
(888) 470-6890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20092586
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196916
—
AL
Enumeration date
02/17/2009
Last updated
01/20/2023
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