Organization
ADVANCED DIABETES MANAGEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATIVEL COLLINS (NP/OWNER)
(662) 842-7840
Entity
Organization
Contact information
Practice address
449 GLOSTER CREEK, SUITE H-9, TUPELO, MS 38801-0000
(662) 842-7840
(662) 842-7873
Mailing address
449 GLOSTER CREEK, SUITE H-9, TUPELO, MS 38801-0000
(662) 842-7840
(662) 842-7873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R873068
MS
Other
Enumeration date
11/21/2014
Last updated
01/27/2015
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