Sha Diabetes Center LLC

NPI #1063293603 in Dothan, Alabama

Provider Information

NPI Number
1063293603
Entity Type
Organization
Organization Name
Sha Diabetes Center LLC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 10, 2023
Last Updated
Jan 12, 2024

Practice Location

Address
172 LUDS WAY
City
Dothan
State
Alabama
ZIP Code
36304-8803
Phone
(334) 475-0646

Authorized Official

Name
DR. TAI BOLAJI, PHARM.D, MBA/MHCA
Title
DR./CEO
Phone
(334) 778-7090

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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