Interventional Diabetes Center, LLC

NPI #1649747825 in Lexington, Mississippi

Provider Information

NPI Number
1649747825
Entity Type
Organization
Organization Name
Interventional Diabetes Center, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 25, 2018
Last Updated
May 6, 2025

Practice Location

Address
20735 HIGHWAY 12
ZIP Code
39095-8266
Phone
(601) 594-7346

Authorized Official

Name
MAURICE HAMPTON
Title
OWNER
Phone
(901) 791-1711

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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Provider Name
Durant Primary Care Clinic

Part of Durant Primary Care Clinic

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