Organization
DIABETES & ENDOCRINE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT SRIYUKTASUTH-WOO (OFFICE MANAGER)
(601) 932-1223
Entity
Organization
Contact information
Practice address
2610 COURTHOUSE CIR, FLOWOOD, MS 39232-9562
(601) 932-1223
(601) 932-1291
Mailing address
2610 COURTHOUSE CIR, FLOWOOD, MS 39232-9562
(601) 932-1223
(601) 932-1291
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
17286
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
545272540
BLUE CROSS
MS
Enumeration date
05/10/2006
Last updated
01/19/2011
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