| NPI | 1568181675 |
|---|---|
| Doing Business As | DIABETES TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |