Organization
CENTER FOR DIABETES MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN SAUCIER FNP (OWNER)
(228) 864-9669
Entity
Organization
Contact information
Practice address
3300 15TH ST, GULFPORT, MS 39501-3901
(228) 864-9669
(228) 864-9774
Mailing address
3300 15TH ST, GULFPORT, MS 39501-3901
(228) 864-9669
(228) 864-9774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865919
MS
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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