Organization
HILL'S GENERAL STORE, INC.
Active
Other names
Hill's Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD OSCAR HILL C. PED. (VICE-PRESIDENT)
(276) 755-3412
Entity
Organization
Contact information
Practice address
13763 FANCY GAP HWY, CANA, VA 24317-3517
(276) 755-3412
(276) 755-4702
Mailing address
13763 FANCY GAP HWY, CANA, VA 24317-3517
(276) 755-3412
(276) 755-4702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CPED2796
DE
335E00000X
Prosthetic/Orthotic Supplier
CPED2796
DE
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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