Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diabetes Center of Jesup LLC

Organization Clinic/Center · NPI 1780445643

Diabetes Center of Jesup LLC is a Clinic/Center in Jesup, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 Memorial Dr
Jesup, GA 31545-0101
Phone: (912) 750-0011
Fax: (833) 740-4346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1780445643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Crawford — Owner · (912) 339-2342
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address24 Glendale Ave Ste E, Baxley, GA 31513-0245

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