Country Cobbler, Ltd. in Wilmington - Prosthetic/orthotic Supplier

Country Cobbler, Ltd. - NPI 1780646653

Country Cobbler, Ltd. is a Prosthetic/orthotic Supplier in Wilmington, North Carolina. Country Cobbler, Ltd. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Country Cobbler, Ltd. is 1780646653. The last update date is 2015-09-18.

Country Cobbler, Ltd.'s current location address is 3501 Oleander Dr, Wilmington, North Carolina. You can contact this provider via phone number 9107729994 and fax number 9107721262. The mailing address for Country Cobbler, Ltd. is 3501 Oleander Dr, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Country Cobbler, Ltd.
Address 3501 Oleander Dr, Wilmington, North Carolina
Phone Number 9107729994
Fax Number 9107721262
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIABETIC S
Authorized Official Name Mantey Allen Mark
Telephone Number 9107729994

NPI Number Detail

NPI Number 1780646653
Provider Enumeration Date 2006-04-05
Last Updated Date 2015-09-18

Provider Mailing Address Detail

Address 3501 Oleander Dr
City Wilmington
State North Carolina (NC)
Post Code 284030824
Phone Number 9107729994
Fax Number 9107721262

Provider's Primary Taxonomy Detail

Speciality Prosthetic/orthotic Supplier
Taxonomy 335E00000X
Licence No 992
Definition:
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7704409 NC --

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FAQs about Country Cobbler, Ltd.

What is the Country Cobbler, Ltd.'s unique identification number?

The Country Cobbler, Ltd. has been assigned the NPI (National Provider Identifier) Number 1780646653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Country Cobbler, Ltd.?

The Country Cobbler, Ltd. is situated at 3501 Oleander Dr, in the city of Wilmington, state of NC, with the zip code 284030824.

What is the Country Cobbler, Ltd.'s area of specialization and corresponding taxonomy classification?

The Country Cobbler, Ltd.'s specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.

When did the Country Cobbler, Ltd. receive its 1780646653?

The Country Cobbler, Ltd. was issued its 1780646653 on 2006-04-05, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Country Cobbler, Ltd. last refreshed?

The information related to the Country Cobbler, Ltd., including its address, specialty, and other relevant details, was last updated on 2015-09-18.

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