| PH Diabetes Self Care Mgt Program | |
|
129 N Washington St Sumter SC 29150-4949 | |
| (803) 774-9000 | |
| (803) 744-9489 |
| Full Name | PH Diabetes Self Care Mgt Program |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 129 N Washington St, Sumter, South Carolina |
| Authorized Official Name and Position | Kristi Lawrence (DIRECTOR) |
| Authorized Official Contact | 8032962548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| PH Diabetes Self Care Mgt Program Po Box 402121 Atlanta GA 30384-2121 Ph: (803) 296-2548 | PH Diabetes Self Care Mgt Program 129 N Washington St Sumter SC 29150-4949 Ph: (803) 774-9000 |
| NPI Number | 1326906835 |
|---|---|
| Provider Enumeration Date | 01/13/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326906835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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