| Diabetes And Endocrine Specialists Llc | |
|
970 Joe Frank Harris Pkwy Se Ste No280 Cartersville GA 30120-2159 | |
| (770) 607-7123 | |
| (770) 607-7074 |
| Full Name | Diabetes And Endocrine Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 970 Joe Frank Harris Pkwy Se Ste No280, Cartersville, Georgia |
| Authorized Official Name and Position | Harini Jalagani (OWNER) |
| Authorized Official Contact | 6783328355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Endocrine Specialists Llc 3432 Woodshire Xing Marietta GA 30066-8720 Ph: (678) 332-8355 | Diabetes And Endocrine Specialists Llc 970 Joe Frank Harris Pkwy Se Ste No280 Cartersville GA 30120-2159 Ph: (770) 607-7123 |
| NPI Number | 1568610772 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 4183783533 |
|---|---|
| Medicare Enrollment ID | O20081030000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568610772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 056103 (Georgia) | Primary |
| Provider Name | Harini Jalagani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336111558 PECOS PAC ID: 9739110818 Enrollment ID: I20050829000524 |
| Provider Name | Sandra Jo Larisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578802948 PECOS PAC ID: 7618106980 Enrollment ID: I20140207000373 |
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