DIABETES AND ENDOCRINE CENTER OF MS NPI 1568764504

NPI Information

DIABETES AND ENDOCRINE CENTER OF MS is an endocrinology and diabetes and metabolism internal medicine in Jackson, MS. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DIABETES AND ENDOCRINE CENTER OF MS NPI is 1568764504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

971 LAKELAND DR
SUITE 450
JACKSON, MS
ZIP 39216-643
Phone: (601) 948-5158
Fax: (601) 326-4265

The provider's authorized official is Terri Fewell .
The authorized official title is Office Manager and has the following contact phone number (601) 292-1228.

The CLIA number assigned to this NPI record is 25D0318379 - practitioner other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/24/2010 and was last updated on 5/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.