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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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