Individual provider · Type 1 NPI
Shanita Roshawn Shuford, MEDICAL WIG PROVIDER
Prosthetic/Orthotic Supplier · Statesville, NC
Practice location
125 N Trado St Suite D
Statesville, NC 28677
Mailing address
PO Box 6602 Statesville Nc 28687
Statesville, NC 28687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1619793486
Shanita Roshawn Shuford, MEDICAL WIG PROVIDER's National Provider Identifier is 1619793486, issued on Nov 26, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Statesville, NC. The record was last updated on Nov 26, 2024.