Diabetic Care Center | |
7659 Gilbert St. Suite D Gilbert LA 71336 | |
(318) 657-1220 | |
(318) 367-1376 |
Full Name | Diabetic Care Center |
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Speciality | Internal Medicine |
Location | 7659 Gilbert St., Gilbert, Louisiana |
Authorized Official Name and Position | Michael Shane Davidson (OWNER/MANAGER) |
Authorized Official Contact | 3185121176 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetic Care Center 7659 Gilbert St. Suite D Gilbert LA 71336-3427 Ph: () - | Diabetic Care Center 7659 Gilbert St. Suite D Gilbert LA 71336 Ph: (318) 657-1220 |
NPI Number | 1174238752 |
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Provider Enumeration Date | 01/18/2023 |
Last Update Date | 06/21/2023 |
Medicare PECOS PAC ID | 5395104202 |
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Medicare Enrollment ID | O20230710001792 |
Identifier | Type | State | Issuer |
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1174238752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Leigh Ann Chafton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497324818 PECOS PAC ID: 8820493356 Enrollment ID: I20210823000866 |
Franklin Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7645 Gilbert Street, Gilbert, LA 71336 Phone: 318-435-9411 |