Country Cobbler, Ltd. is a Prosthetic & Orthotic Supplier (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 Center 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.
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
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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