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Organization
SHOES N STUFF INC
Active
Organization
SHOES N STUFF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD A KIRKMAN SR. (OWNER)
(336) 789-8494
Entity
Organization
Contact information
Practice address
2133 ROCKFORD ST STE 500, MOUNT AIRY, NC 27030-6667
(336) 789-8494
(336) 789-8561
Mailing address
2133 ROCKFORD ST STE 500, MOUNT AIRY, NC 27030-6667
(336) 789-8494
(336) 789-8561
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NC
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704168
—
NC
Enumeration date
08/12/2006
Last updated
08/28/2013
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