Organization
DIABETIC CARE CENTERS OF LOUISIANA INC
Active
Other names
Diabetic Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANE DAVIDSON (OWNER/MANAGER)
(318) 512-1176
Entity
Organization
Contact information
Practice address
7659 GILBERT ST., SUITE D, GILBERT, LA 71336
(318) 657-1220
(318) 367-1376
Mailing address
7659 GILBERT ST., SUITE D, GILBERT, LA 71336-3427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
06/21/2023
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