Organization
INTERVENE DIABETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE HAMPTON (AUTHORIZED OFFICIAL/OWNER)
(901) 791-1711
Entity
Organization
Contact information
Practice address
20735 HIGHWAY 12, LEXINGTON, MS 39095-8266
(662) 834-3432
Mailing address
PO BOX 61, FREMONT, NC 27830-0061
(931) 771-2521
(984) 202-2422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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