Organization
PRODIGY DIABETES CARE, LLC
Active
Organization
PRODIGY DIABETES CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MILLER (COO & VP OF FINANCE)
(704) 285-6437
Entity
Organization
Contact information
Practice address
2701 HUTCHISON MCDONALD RD STE A, CHARLOTTE, NC 28269-4276
(704) 285-6437
Mailing address
2701 HUTCHISON MCDONALD RD STE A, CHARLOTTE, NC 28269-4276
(704) 285-6437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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