Country Cobbler, Ltd.
Prosthetic & Orthotic Supplier
3501 Oleander Dr, Suite 11, Wilmington
North Carolina, 28403-0824
910-772-9994 910-772-1262
Maps & DirectionsCountry Cobbler, Ltd. is a Prosthetic & Orthotic Supplier in Wilmington, North Carolina. It is situated at 3501 Oleander Dr, Suite 11, Wilmington and its contact number is 910-772-9994. The authorized person of Country Cobbler, Ltd. is Mr. Mark Allen Mantey
who is Diabetic Shoe Program Facilitator of the store and his/her contact number is 910-772-9994. Primary license number for Country Cobbler, Ltd. is 00992 in North Carolina.
Country Cobbler, Ltd. is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Country Cobbler, Ltd. Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 3501 Oleander Dr, Suite 11, Wilmington,
North Carolina, 28403-0824 |
| Phone: | 910-772-9994 |
| Fax: | 910-772-1262 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Mark Allen Mantey |
| Position: | Diabetic Shoe Program Facilitator |
| Contact Number: | 910-772-9994 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Country Cobbler, Ltd. center are as mentioned below.
| NPI Number: | 1780646653 |
| NPI Enumeration Date: | 05 Apr, 2006 |
| NPI Last Update On: | 18 Sep, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Country Cobbler, Ltd. are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | 00992 | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7704409 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Country Cobbler, Ltd.
3501 Oleander Dr, Suite 11
Wilmington, North Carolina |
| Zip: | 28403-0824 |
| Phone Number: | 910-772-9994 |
| Fax Number: | 910-772-1262 |
Patients can reach Country Cobbler, Ltd. at
3501 Oleander Dr, Suite 11, Wilmington, North Carolina or can
call to book an appointment on 910-772-9994.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.