Organization
COUNTRY COBBLER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTY K. MONTEY (PRESIDENT/OWNER)
(910) 772-9994
Entity
Organization
Contact information
Practice address
1001 AIRPORT BLVD, SUITE 125, MORRISVILLE, NC 27560-8935
(919) 319-9799
(919) 319-8985
Mailing address
1001 AIRPORT BLVD, SUITE 125, MORRISVILLE, NC 27560-8935
(919) 319-9799
(919) 319-8985
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
00992
NC
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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