Provider Demographics
NPI:1538453402
Name:DIABETES REIMBURSEMENT SPECIALISTS
Entity type:Organization
Organization Name:DIABETES REIMBURSEMENT SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-734-1664
Mailing Address - Street 1:235 PHARR RD NE
Mailing Address - Street 2:SUITE 3208
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2438
Mailing Address - Country:US
Mailing Address - Phone:888-618-8111
Mailing Address - Fax:702-921-7994
Practice Address - Street 1:235 PHARR RD NE
Practice Address - Street 2:SUITE 3208
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2438
Practice Address - Country:US
Practice Address - Phone:888-618-8111
Practice Address - Fax:702-921-7994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty