| NPI | 1336328715 |
|---|---|
| Doing Business As | GLYCEMIC CONTROL CENTER |
| Entity Type | Organization |
| Authorized Contact | GERALD WAGES Treasurer 662-377-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |