Organization
HORMONE AND DIABETIC INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE ALFERINK FNP-C (OWNER)
(762) 220-1962
Entity
Organization
Contact information
Practice address
1129 LAKE OCONEE PKWY STE 104, EATONTON, GA 31024-9581
(762) 220-1962
(762) 220-1961
Mailing address
1129 LAKE OCONEE PKWY STE 104, EATONTON, GA 31024-9581
(762) 220-1962
(762) 220-1961
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
02/21/2023
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