Healthcare Provider Details

I. General information

NPI: 1447714449
Provider Name (Legal Business Name): EVERYDAY DIABETES CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 PAULSEN ST. SUITE 241B
SAVANNAH GA
31405
US

IV. Provider business mailing address

5105 PAULSEN ST. SUITE 241B
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-335-7712
  • Fax: 912-200-7971
Mailing address:
  • Phone: 912-335-7712
  • Fax: 912-200-7971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA RITTIE ADKINS
Title or Position: CO-OWNER
Credential: DNP
Phone: 912-335-7712