Organization
HILL'S GENERAL STORE, INC.
Active
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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