Organization
SHOE HEEL MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LOWERY (MANAGER/OWNER)
(910) 844-6000
Entity
Organization
Contact information
Practice address
109 N PATTERSON ST, MAXTON, NC 28364-1734
(910) 844-6000
(910) 844-6004
Mailing address
109 N PATTERSON ST, MAXTON, NC 28364-1734
(910) 844-6000
(910) 844-6004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
332BC3200X
Customized Equipment (DME)
—
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NC
335E00000X
Prosthetic/Orthotic Supplier
—
NC
Other
Enumeration date
04/28/2008
Last updated
04/30/2010
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