STAR SHOES CORPORATION NPI 1811102460

NPI Information

STAR SHOES CORPORATION is a customized equipment durable medical equipment medical supplies in Lawrenceville, GA. STAR SHOES CORPORATION NPI is 1811102460. The provider is registered as an organization entity type.

The provider's business location address is:

3370 SUGARLOAF PARKWAY
SUITE G-6
LAWRENCEVILLE, GA
ZIP 30044-478
Phone: (678) 225-4569
Fax: (678) 225-5749

The provider's authorized official is Janice L. Rogers .
The authorized official title is Secretary Treasurer and has the following contact phone number (678) 225-4569.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/18/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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