NPI | 1770210122 |
---|---|
Doing Business As | SUGAFOOT DIABETIC FOOTWEAR |
Entity Type | Organization |
Authorized Contact | JAMIA BRYANT Director 601-326-2425 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-08-05 |
Last Update Date | 2025-01-29 |