Village Shoe Service, Llc

NPI 1831334978 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1831334978
Enumeration Date 12/03/2008
Last Updated 09/25/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LARRY WILLIAM LARRY
Position OWNER
Phone (770) 938-7463
Fax
Practice Location
4286 RAILROAD AVE
TUCKER GA, 30084-4487, US
Phone (770) 938-7463
Fax
Business Location
4286 RAILROAD AVE
TUCKER GA, 30084-4487, US
Phone (770) 938-7463
Fax
Toxanomy
Taxonomy Code 335E00000X
License State Georgia
License Number CPED2232
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According to our database, Village Shoe Service, Llc NPI is 1831334978, taxonomy code is 335E00000X and license number is CPED2232, license state is located at Georgia. Village Shoe Service, Llc physically located at 4286 Railroad Ave, Tucker GA, 30084-4487. NPI Number 1033115704 has the healthcare provider type.

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1831334978 NPI number is provided on an as is basis without warranty of any kind. 1831334978 is maintained by the National Plan & Provider Enumeration System. The contents of Village Shoe Service, Llc are for informational purposes only.