| NPI | 1578133278 |
|---|---|
| Doing Business As | SOUTHERN DIABETES CARE |
| Entity Type | Organization |
| Authorized Contact | JAMIE LEEMAE BREWER Owner 601-832-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2023-05-05 |