Diabetes and Endocrine Treatment Center Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

035482 Issued in GA

Legal business name

DIABETES AND ENDOCRINE TREATMENT CENTER INC.

Practice address

2005 Pioneer St Ste C
Waycross, GA 31501-6205

Phone

(912) 284-9888

Fax

(912) 285-8533

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Denise A Morris, M.D.

Title

Physician

Phone

(912) 284-9888

Specialties & licenses 1

Addresses

Other names 1

• Diabetes and Endocrine Treatment Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1720205503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST",
            "address_2": "STE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016206",
            "telephone_number": "912-284-9888",
            "fax_number": "912-285-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST STE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016205",
            "telephone_number": "912-284-9888",
            "fax_number": "912-285-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-284-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "035482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes and Endocrine Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea M Deloach, FNP-C
• Guensley Ralph Delva, M.D.
• Robin Kay Denison, LPN
• Trishla Amit Desai, M.D.
• Diabetes & Endocrine Treatment Center
• Jonathan S Dial, P.A.
• Dialysis Facility of Alma, Inc
• Diane Raulersons Home Medical Equipment
• Michelle Elise Dibiase, D.C.
• Jennifer Ann Dieu, ARNP, PMHNP

• Specialist in Waycross, GA
• Providers in Waycross, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.