MOONEYS SHOES NPI 1316084361

NPI Information

MOONEYS SHOES is a customized equipment durable medical equipment medical supplies in Augusta, GA. MOONEYS SHOES NPI is 1316084361. The provider is registered as an organization entity type.

The provider's business location address is:

2825 WASHINGTON RD
G-2
AUGUSTA, GA
ZIP 30909-196
Phone: (706) 722-8773
Fax: (706) 722-1227

The provider's authorized official is Dan Calvin Williams .
The authorized official title is Owner and has the following contact phone number (706) 722-8773.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 5/31/2011.

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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