Organization
PEE DEEDIABETIC CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DIXON PLAYER RPH,CDE (ADMINISTRATOR/OWNER)
(843) 394-3121
Entity
Organization
Contact information
Practice address
212 W MAIN ST, LAKE CITY, SC 29560-2428
(843) 394-3121
Mailing address
212 ACADEMY ST, LAKE CITY, SC 29560-2102
(843) 394-3121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CDE 136743
SC
Other
Enumeration date
06/25/2006
Last updated
06/17/2008
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