The Diabetic Store

NPI #1972662856 in Jonesboro, Georgia

Provider Information

NPI Number: 1972662856
Entity Type: Organization
Organization Name: The Diabetic Store
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7130 MOUNT ZION BLVD
Address 2: SUITE 10
City: Jonesboro
State: Georgia
ZIP Code: 30236-2566
Phone: (770) 473-6811

Authorized Official

Name: GREGORY ALVAREZ, DPM
Title: PODIATRIST
Phone: (770) 460-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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