Home » South Carolina » 29322 » Diamond Pt Diabetic Suppl

Diamond Pt Diabetic Suppl

Diamond Pt Diabetic Suppl is a health care provider in Campobello, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 149 Walker Road, Campobello, SC 29322-9053, US
Practice Location Phone864-472-5517
Practice Location Fax864-278-0650
Legal Business NameDIAMOND PT DIABETIC SUPPL
NPI ?1003901406
Entity TypeOrganization
Enumeration Date ? Oct 3, 2006
Last Update Date ? Feb 14, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Diamond Pt Diabetic Suppl

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies

legacy-id-icon Legacy Provider IDs of Diamond Pt Diabetic Suppl

Provider IdIssuer StateIssuer TypeIssuer
DE2529South CarolinaMedicaid

official-icon Authorized Official of Diamond Pt Diabetic Suppl

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Diamond Pt Diabetic Suppl's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Paul Moore (C. PED)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number864-472-5517