Organization
SOUTHERN DIABETES MANAGEMENT
Active
Organization
SOUTHERN DIABETES MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELANA S CRANE MSM (PRESIDENT - OWNER)
(706) 653-6524
Entity
Organization
Contact information
Practice address
9000 MOORE RD, COLUMBUS, GA 31904-1292
(706) 653-6524
(706) 317-5432
Mailing address
1331 10TH AVE,, BLDG. 133, COLUMBUS, GA 31904
(706) 653-6524
(706) 317-5432
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/30/2005
Last updated
08/22/2020
Update your record
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