Organization
SHOE MARKET SAMPLES INC
Active
Other names
The Shoe Market
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FRICK (MANAGER)
(336) 632-1188
Entity
Organization
Contact information
Practice address
4624 W MARKET ST, GREENSBORO, NC 27407-1232
(336) 632-1188
(336) 632-9011
Mailing address
4624 W MARKET ST, GREENSBORO, NC 27407-1232
(336) 632-1188
(336) 632-9011
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
NC
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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