Organization
GLB DIABETIC SHOES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY V BRUCE (OWNER)
(912) 308-4087
Entity
Organization
Contact information
Practice address
55 PEARL ST, CUTHBERT, GA 39840-5910
(229) 209-6909
(678) 317-9319
Mailing address
39 WATERSTONE CIR, SAVANNAH, GA 31405-9487
(912) 308-4087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
08/04/2020
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