Mba Diabetic Footwear Solutions

LBN: Mba Diabetic Footwear Solutions
Mba Diabetic Footwear Solutions is an health care organization with primary practice located at 4395 Ogeechee Rd Ste 209, Savannah GA 31405-1249. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Mba Diabetic Footwear Solutions can be contacted via phone (912) 335-8934, or through Byrd, Maurice Syntel via phone (912) 352-8031.

Contact Information

Primary practice address
4395 Ogeechee Rd Ste 209 Savannah GA 31405-1249
Fax:
Website:
Authorized official contact:
Name: Byrd, Maurice Syntel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 1071579 Georgia

Profile Details

NPI number 1437305059
LBN Legal business name Mba Diabetic Footwear Solutions
DBA Doing business as
Authorized official Byrd, Maurice Syntel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Jun 18th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437305059 NPPES
South Carolina MEDICAID DE3140
South Carolina MEDICAID 079591530A
South Carolina MEDICAID 079591530B

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