Diabetes & Endocrine Institute, Pllc | |
2610 Courthouse Cir Flowood MS 39232-9562 | |
(601) 932-1223 | |
(601) 932-1291 |
Full Name | Diabetes & Endocrine Institute, Pllc |
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Speciality | Internal Medicine |
Location | 2610 Courthouse Cir, Flowood, Mississippi |
Authorized Official Name and Position | Pat Sriyuktasuth-woo (OFFICE MANAGER) |
Authorized Official Contact | 6019321223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetes & Endocrine Institute, Pllc 2610 Courthouse Cir Flowood MS 39232-9562 Ph: (601) 932-1223 | Diabetes & Endocrine Institute, Pllc 2610 Courthouse Cir Flowood MS 39232-9562 Ph: (601) 932-1223 |
NPI Number | 1730138231 |
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Provider Enumeration Date | 05/10/2006 |
Last Update Date | 01/19/2011 |
Medicare PECOS PAC ID | 0749383792 |
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Medicare Enrollment ID | O20070312000268 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730138231 | NPI | - | NPPES |
545272540 | Other | MS | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 17286 (Mississippi) | Primary |
Provider Name | Wayne Woo |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1023064177 PECOS PAC ID: 5294764304 Enrollment ID: I20050809000877 |
Provider Name | Johnnie A Westerfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558656553 PECOS PAC ID: 4284807843 Enrollment ID: I20111027000542 |
Provider Name | Jaime Dean Eubanks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548709678 PECOS PAC ID: 5991081705 Enrollment ID: I20170410002625 |
Provider Name | Catherine E Clingan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013498435 PECOS PAC ID: 5496009300 Enrollment ID: I20181113000710 |
Provider Name | Callie B Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083188387 PECOS PAC ID: 6800136466 Enrollment ID: I20190318000920 |
Provider Name | Rochelsey Mcdonald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942825088 PECOS PAC ID: 1456762152 Enrollment ID: I20201202000967 |
Provider Name | Tammy L Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912571977 PECOS PAC ID: 2264829662 Enrollment ID: I20220504001673 |
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Diabetes And Endocrine Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 Courthouse Cir, Flowood, MS 39232 Phone: 601-932-1223 | |
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