Diabetes Center Of Jesup Llc

LBN: Diabetes Center Of Jesup Llc
Diabetes Center Of Jesup Llc is an health care organization with primary practice located at 124 Memorial Dr , Jesup GA 31545-0101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Diabetes Center Of Jesup Llc can be contacted via phone (912) 750-0011, or through Crawford, Randall via phone (912) 339-2342.

Contact Information

Primary practice address
124 Memorial Dr Jesup GA 31545-0101
Phone: (912) 750-0011
Fax: (833) 740-4346
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Randall Family Nurse Practitioner (FNP)
Phone: (912) 339-2342

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1780445643
LBN Legal business name Diabetes Center Of Jesup Llc
DBA Doing business as
Authorized official Crawford, Randall Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2024
Last updated Jan 22nd, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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