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
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None 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.