Organization
QUALITY DIABETES SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD MARK FREDRICKSON (PRESIDENT)
(205) 942-0114
Entity
Organization
Contact information
Practice address
438 CARR AVE, SUITE 1, BIRMINGHAM, AL 35209-6147
(205) 942-0114
(295) 942-6472
Mailing address
438 CARR AVE, SUITE 1, BIRMINGHAM, AL 35209-6147
(205) 942-0114
(295) 942-6472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
485
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703878
—
NC
Enumeration date
08/30/2006
Last updated
08/22/2020
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