Healthcare Provider Details

I. General information

NPI: 1366116071
Provider Name (Legal Business Name): PRESLEY DIABETES AND ENDOCRINE CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 EAST DR
NEWBERN TN
38059-1404
US

IV. Provider business mailing address

108 EAST DR
NEWBERN TN
38059-1404
US

V. Phone/Fax

Practice location:
  • Phone: 731-285-6600
  • Fax: 731-285-8005
Mailing address:
  • Phone: 731-777-1050
  • Fax: 731-628-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. BELINDA PRESLEY
Title or Position: OWNER
Credential: DNP
Phone: 731-777-1050