Organization
HILTON HEAD SHOE REPAIR
Active
Organization
HILTON HEAD SHOE REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY EUGENE FLOWERS PEDORTHISTS (OWNER)
(843) 342-9425
Entity
Organization
Contact information
Practice address
29 OTTER HOLE RD, SUITE 10, HILTON HEAD, SC 29926-2284
(843) 342-9425
(843) 342-9425
Mailing address
29 OTTER HOLE RD, SUITE 10, HILTON HEAD, SC 29926-2284
(843) 342-9425
(843) 342-9425
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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