GENESIS DIABETIC SHOES & MEDICAL SUPPLIES NPI 1699024489

NPI Information

GENESIS DIABETIC SHOES & MEDICAL SUPPLIES is a prosthetic orthotic supplier in Wilmington, NC. The provider is 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. GENESIS DIABETIC SHOES & MEDICAL SUPPLIES NPI is 1699024489. The provider is registered as an organization entity type.

The provider's business location address is:

3806 1/2 PARK AVE
WILMINGTON, NC
ZIP 28403-756
Phone: (910) 279-6181

The provider's authorized official is Tanita Wallace .
The authorized official title is Owner and has the following contact phone number (910) 279-6181.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 9/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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