Organization
SHOE REPAIR PLUS, LLC
Active
Other names
Shoe Repair Plus, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY MARSHALL FLOWERS C.PED. (OWNER)
(843) 662-9930
Entity
Organization
Contact information
Practice address
421 S IRBY ST, FLORENCE, SC 29501-4709
(843) 662-9930
Mailing address
421 S IRBY ST, FLORENCE, SC 29501-4709
(843) 662-9930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Enumeration date
10/08/2006
Last updated
10/21/2007
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