Organization
DIABETES MANAGEMENT CENTERS OF MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIP SLACK (PRESIDENT)
(601) 500-5367
Entity
Organization
Contact information
Practice address
3500 LAKELAND DR, SUITE 515, FLOWOOD, MS 39232-3017
(601) 500-5367
(601) 500-5370
Mailing address
3500 LAKELAND DR, SUITE 515, FLOWOOD, MS 39232-3017
(601) 500-5367
(601) 500-5370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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