Organization
DIABETIC CARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT HENDERSON (REPRESENTATIVE)
(478) 256-1597
Entity
Organization
Contact information
Practice address
219 RIVER HILLS RDG, MACON, GA 31211-6339
(478) 256-1597
Mailing address
PO BOX 6705, MACON, GA 31208-6705
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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