Organization · Type 2 NPI

Star Shoes Corporation

Customized Equipment (DME) · Lawrenceville, GA

NPI number 1811102460 Active

Practice location

3370 Sugarloaf Parkway, Suite G-6
Lawrenceville, GA 30044-5478

Fax (678) 225-5749

Mailing address

3370 Sugarloaf Pkwy, Suite G-6
Lawrenceville, GA 30044-5478

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1811102460

Star Shoes Corporation's National Provider Identifier is 1811102460, issued on May 14, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lawrenceville, GA. The record was last updated on Aug 18, 2009.