Diabetic Special Care | |
19900 W Catawba Ave Cornelius NC 28031-4032 | |
(704) 895-8478 | |
(704) 895-8478 |
Full Name | Diabetic Special Care |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 19900 W Catawba Ave, Cornelius, North Carolina |
Authorized Official Name and Position | Kirkwood T Shultz (OWNER) |
Authorized Official Contact | 7048958478 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diabetic Special Care Po Box 5388 High Point NC 27262-5388 Ph: (800) 277-8151 | Diabetic Special Care 19900 W Catawba Ave Cornelius NC 28031-4032 Ph: (704) 895-8478 |
NPI Number | 1104882752 |
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Provider Enumeration Date | 04/24/2006 |
Last Update Date | 12/05/2007 |
Identifier | Type | State | Issuer |
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1104882752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Innovative Healthcare Management Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031 Phone: 704-473-5263 Fax: 704-731-0961 | |