| NPI | 1235841412 |
|---|---|
| Doing Business As | DIABET-EEZ OF SHELBY |
| Entity Type | Organization |
| Authorized Contact | BARBARA CONWAY Authorized Official 662-357-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-02-28 |