| Organization Name: | SHOE HEEL MEDICAL SUPPLY INC. |
| NPI Number: | 1144495474 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY LOWERY (MANAGER/OWNER) |
| Mailing Address: | 109 N Patterson St Maxton |
| State: | NC US |
| Postal Code: | 283641734 |
| Phone Number: | 9108446000 |
| Fax Number: | 9108446004 |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |