| NPI | 1528116530 |
|---|---|
| Doing Business As | JOHN ALLEN SHOES |
| Entity Type | Organization |
| Authorized Contact | LARRY KOONCE Owner 910-484-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 332BC3200X) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |