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Organization

THE DIABETIC SHOE & SERVICE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM CHURCH (SOLE PROPRIETOR/OWNER)
(704) 287-4280
Entity
Organization

Contact information

Practice address
101 S JOHN ST, SUITE B, BLACKSBURG, SC 29702-1559
(864) 839-1800
Mailing address
101 S JOHN ST, SUITE B, BLACKSBURG, SC 29702-1559
(864) 839-1800

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/22/2006
Last updated
08/22/2020
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