Organization
CITY SHOE SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERMIT C OMAN JR. (OWNER)
(336) 472-7485
Entity
Organization
Contact information
Practice address
44 SALEM ST, THOMASVILLE, NC 27360-3937
(336) 472-7485
(336) 472-7494
Mailing address
44 SALEM ST, THOMASVILLE, NC 27360-3937
(336) 472-7485
(336) 472-7494
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
06/14/2010
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