Organization
SHOES ETC LLC
Active
Parent organization
SHOES ETC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHOES ETC LLC
Authorized official
MR. WILLIAM D MCLEOD (OWNER)
(803) 730-3887
Entity
Organization
Contact information
Practice address
339 E MAIN STREET, SUITE 113, ROCK HILL, SC 29730-5367
(803) 329-7463
(866) 843-2602
Mailing address
PO BOX 2652, IRMO, SC 29063-4003
(803) 781-5757
(866) 843-2602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
046315575
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704796
—
NC
Enumeration date
01/07/2008
Last updated
06/17/2008
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