Provider Demographics
NPI:1558656702
Name:DIABETES MANAGEMENT SOLUTIONS
Entity Type:Organization
Organization Name:DIABETES MANAGEMENT SOLUTIONS
Other - Org Name:THE DIABETES BUS INITIATIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HANCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CDE
Authorized Official - Phone:919-345-5074
Mailing Address - Street 1:1100 NAVAHO DR STE 249
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7364
Mailing Address - Country:US
Mailing Address - Phone:919-876-8466
Mailing Address - Fax:919-876-8465
Practice Address - Street 1:1100 NAVAHO DR STE 249
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7364
Practice Address - Country:US
Practice Address - Phone:919-876-8466
Practice Address - Fax:919-876-8465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty