Organization
ALEXCO, INC.
Active
Other names
Southern Comfort Shoes and Pedorthic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN ALEXANDER C.PED (OWNER)
(706) 434-0129
Entity
Organization
Contact information
Practice address
1001 WALTON WAY, AUGUSTA, GA 30901-2841
(706) 434-0129
(706) 305-1277
Mailing address
1001 WALTON WAY, AUGUSTA, GA 30901-2841
(706) 434-0129
(706) 305-1277
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
03/29/2016
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