Organization
MBA DIABETIC FOOTWEAR SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE SYNTEL BYRD (CEO)
(912) 352-8031
Entity
Organization
Contact information
Practice address
4395 OGEECHEE RD, STE 209, SAVANNAH, GA 31405-1249
(912) 335-8934
Mailing address
7505 WATERS AVE, STE E-4, SAVANNAH, GA 31406-3825
(912) 352-8031
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
1071579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079591530A
—
GA
05
—
079591530B
—
GA
05
—
DE3140
—
SC
Enumeration date
08/14/2008
Last updated
06/18/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up