HORMONE AND DIABETIC INFUSION CENTER NPI 1154042265

NPI Information

NPI: 1154042265
Provider Name: HORMONE AND DIABETIC INFUSION CENTER
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 11D2263105

Address:
1129 LAKE OCONEE PKWY STE 104
EATONTON, GA
ZIP 31024
Phone: (762) 220-1962
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HORMONE AND DIABETIC INFUSION CENTER is an infusion therapy clinic center in Eatonton, GA. HORMONE AND DIABETIC INFUSION CENTER NPI is 1154042265. The provider is registered as an organization entity type.

The provider's business location address is:

1129 LAKE OCONEE PKWY STE 104
EATONTON, GA
ZIP 31024-581
Phone: (762) 220-1962
Fax: (762) 220-1961

The provider's authorized official is Jessica Marie Alferink .
The authorized official title is Owner and has the following contact phone number (762) 220-1962.

The CLIA number assigned to this NPI record is 11D2263105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 2/21/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QI0500X	Clinic/Center	Infusion Therapy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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