Diamond Pt Diabetic Suppl
NPI #1003901406 in Campobello, South Carolina
Provider Information
- NPI Number
- 1003901406
- Entity Type
- Organization
- Organization Name
- Diamond Pt Diabetic Suppl
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Feb 14, 2008
Practice Location
- Address
- 149 WALKER ROAD
- City
- Campobello
- State
- South Carolina
- ZIP Code
- 29322-9053
- Phone
- (864) 472-5517
Authorized Official
- Name
- MR. PAUL MOORE III, C. PED
- Title
- PRESIDENT
- Phone
- (864) 472-5517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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