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. |
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Address | 3501 Oleander Dr, Wilmington, North Carolina |
Phone Number | 9107729994 |
Fax Number | 9107721262 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIABETIC S |
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Authorized Official Name | Mantey Allen Mark |
Telephone Number | 9107729994 |
NPI Number Detail
NPI Number | 1780646653 |
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Provider Enumeration Date | 2006-04-05 |
Last Updated Date | 2015-09-18 |
Provider Mailing Address Detail
Address | 3501 Oleander Dr |
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City | Wilmington |
State | North Carolina (NC) |
Post Code | 284030824 |
Phone Number | 9107729994 |
Fax Number | 9107721262 |
Provider's Primary Taxonomy Detail
Speciality | Prosthetic/orthotic Supplier |
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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 | -- |
Post Comment/ Review Below
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.