NPI 1114117488

Diabetes Center LLC

Organisation Internal Medicine Physician Murrells Inlet, SC

Practice location

Address: 11891 Plaza Drive, Murrells Inlet, SC 29576
Phone: (843) 353-0288
Fax: (843) 357-9770
Mailing address: PO Box 15010, Surfside Beach, SC 29587-5010

Authorised official

Name: Brent Russell Nicol
Title: Business Manager
Phone: (843) 353-0288

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 14684 (SC)

Other Internal Medicine providers in South Carolina →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 30634 (SC)

Other Family Medicine providers in South Carolina →

Endocrinology, Diabetes & Metabolism Physician

Allopathic & Osteopathic Physicians Taxonomy 207RE0101X Licence 14684 (SC)

Registry record

NPI: 1114117488
Entity type: Organization
NPI issued: 1 Aug 2007
Record last updated: 17 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.