| Diabetes Endocrinology & Metabolism Associates, Pa | |
|
115 Stone Village Dr Fort Mill SC 29708-6489 | |
| (704) 540-9181 | |
| Not Available |
| Full Name | Diabetes Endocrinology & Metabolism Associates, Pa |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 115 Stone Village Dr, Fort Mill, South Carolina |
| Authorized Official Name and Position | Godwin Obinna Uzomba (PRESIDENT) |
| Authorized Official Contact | 7045409181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Endocrinology & Metabolism Associates, Pa Po Box 471947 Charlotte NC 28247-1947 Ph: (704) 540-9181 | Diabetes Endocrinology & Metabolism Associates, Pa 115 Stone Village Dr Fort Mill SC 29708-6489 Ph: (704) 540-9181 |
| NPI Number | 1710064233 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710064233 | NPI | - | NPPES |
| GP3653 | Medicaid | SC | |
| GP1763 | Medicaid | SC | |
| 014KK | Other | NC | BC/BS OF NORTH CAROLINA |
| 891277F | Medicaid | NC | |
| 89014KK | Medicaid | NC | |
| 1710064233 | Other | SC | GROUP NPI |
| 1710064233 | Other | NC | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
I Med Carolinas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Stone Village Dr, Fort Mill, SC 29708 Phone: 803-543-2610 | |
Melby Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Wessington Manor Ln, Fort Mill, SC 29715 Phone: 757-377-7137 | |
Piedmont Express Care At Sutton Road, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715 Phone: 803-578-2800 Fax: 803-578-2810 | |
Edgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 Fort Mill Hwy, Suite A, Fort Mill, SC 29707 Phone: 803-396-7900 Fax: 803-396-2963 | |
Novant Health Fort Mill Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 Fax: 803-548-0122 | |
Legacy Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Ben Casey Dr Ste 106, Fort Mill, SC 29708 Phone: 803-547-6800 Fax: 803-547-6801 | |
Summit Medical Carolinas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 885 Gold Hill Rd # 253, Fort Mill, SC 29708 Phone: 720-644-9355 |