DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES PA NPI 1710064233

NPI Information

NPI: 1710064233
Provider Name: DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
115 STONE VILLAGE DR
FORT MILL, SC
ZIP 29708
Phone: (704) 540-9181
Get Directions

DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA is an endocrinology and diabetes and metabolism internal medicine in Fort Mill, SC. 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 ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA NPI is 1710064233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 STONE VILLAGE DR
FORT MILL, SC
ZIP 29708-489
Phone: (704) 540-9181

The provider's authorized official is Godwin Obinna Uzomba .
The authorized official title is President and has the following contact phone number (704) 540-9181.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/21/2022.

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	207R00000X	Internal Medicine				No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1710064233	OTHER	SOUTH CAROLINA	GROUP NPI
2	1710064233	OTHER	NORTH CAROLINA	GROUP NPI
3	891277F	MEDICAID	NORTH CAROLINA
4	89014KK	MEDICAID	NORTH CAROLINA
5	GP1763	MEDICAID	SOUTH CAROLINA
6	GP3653	MEDICAID	SOUTH CAROLINA
7	014KK	OTHER	NORTH CAROLINA	BC/BS OF NORTH CAROLINA

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

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