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NPI Code Detail

MEDICARE: HEAL DIABETES INC

MEDICARE: HEAL DIABETES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1316628738
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAL DIABETES INC
Provider Business Mailing Address
First Line : 929 WILLOWBROOK DR SE STE C
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-3267
Country : US
Telephone Number : 256-272-9264
Fax Number : 256-824-9602
Provider Business Practice Location Address
First Line : 1360 S BERETANIA ST STE 500
Second Line :
City : HONOLULU
State : HI
Zip : 96814-1520
Country : US
Telephone Number : 808-210-4444
Fax Number : 808-210-5505
Authorized Official
Title or Position : BUSINESS MANAGER
Name : THERESA CAMPBELL
Credential :
Telephone Number : 256-334-1008
Provider Enumeration Date : 07/27/2023
Last Update Date : 06/15/2026

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Directions to “HEAL DIABETES INC ” Practice Location

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