Organization
THE DIABETIC STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALVAREZ DPM (PODIATRIST)
(770) 460-7600
Entity
Organization
Contact information
Practice address
7130 MOUNT ZION BLVD, SUITE 10, JONESBORO, GA 30236-2566
(770) 473-6811
(770) 478-0238
Mailing address
7130 MOUNT ZION BLVD, SUITE 10, JONESBORO, GA 30236-2566
(770) 473-6811
(770) 478-0238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
08/22/2020
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