Diabetic Shoe Source
Diabetic Shoe Source is a Durable Medical Equipment & Medical Supplies in Vicksburg, Mississippi. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
104 McAuley DrVicksburg, MS 39183-2825
Phone: (601) 883-3342
Fax: (601) 856-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1396168290 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Phelan — Owner · (601) 506-5689 |
| NPI enumerated | January 28, 2014 |
| Last updated in NPPES | January 28, 2014 |
| Mailing address | 104 McAuley Dr, Vicksburg, MS 39183-2825 |
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