Organization
DCA MISSISSIPPI LLC
Active
Parent organization
DIABETES CARE GROUP INC
Other names
Diabetes Care Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIABETES CARE GROUP INC
Authorized official
MS. MARGARET D'ANGELO (CHIEF FINANCIAL OFFICER)
(615) 610-2067
Entity
Organization
Contact information
Practice address
3322 W END AVE, 11TH FLOOR, NASHVILLE, TN 37203-1031
(615) 515-9880
Mailing address
3322 W END AVE, 11TH FLOOR, NASHVILLE, TN 37203-1031
(615) 515-9880
(615) 515-9891
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04982860
—
MS
Enumeration date
08/17/2009
Last updated
09/22/2014
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