| Organization Name: | SHOEHEEL MEDICAL ARTS INC |
| NPI Number: | 1508947599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES MICHAEL SULLIVAN (ADMINISTRATOR) |
| Mailing Address: | 102 Pine Street Maxton |
| State: | NC US |
| Postal Code: | 283641262 |
| Phone Number: | 9108445681 |
| Fax Number: | 9108445650 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |