Organization
ADVANCED DIABETIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PETER SANTULLI (PRESIDENT)
(770) 339-1190
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 322, AIEA, HI 96701-5301
(808) 488-8585
Mailing address
4850 SUGARLOAF PKWY, 209-152, LAWRENCEVILLE, GA 30044-2859
(770) 339-1190
(770) 339-1192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/26/2010
Last updated
09/30/2015
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