Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Diabetic Shoes & Medical Supplies

Organization Prosthetic/Orthotic Supplier · NPI 1699024489

Genesis Diabetic Shoes & Medical Supplies is a Prosthetic/Orthotic Supplier in Wilmington, North Carolina. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3806 1/2 Park Ave
Wilmington, NC 28403-6756
Phone: (910) 279-6181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1699024489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanita Wallace — Owner · (910) 279-6181
NPI enumeratedSeptember 7, 2012
Last updated in NPPESSeptember 7, 2012
Mailing address608 Wright St, Wilmington, NC 28401-5722

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