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1063293603
SHA DIABETES CENTER LLC
DOTHAN, AL
NPI
1063293603
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Entity Type
Organization
Authorized Contact
TAI BOLAJI
Dr./CEO
334-778-7090
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2023-10-10
Last Update Date
2024-01-12
Business Address
SHA DIABETES CENTER LLC
172 LUDS WAY
DOTHAN, AL 36304-8803
Phone number: 334-475-0646
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Mailing Address
SHA DIABETES CENTER LLC
172 LUDS WAY, P. O. BOX 8803
DOTHAN, AL 36304-8803
Phone number: 334-778-7090
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