Organization
CENTER FOR DIABETES MANAGEMENT, PLLC
Active
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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