Organization
GENESIS DIABETIC SHOES & MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANITA WALLACE (OWNER)
(910) 279-6181
Entity
Organization
Contact information
Practice address
3806 1/2 PARK AVE, WILMINGTON, NC 28403-6756
(910) 279-6181
Mailing address
608 WRIGHT ST, WILMINGTON, NC 28401-5722
(910) 279-6181
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us