Southeastern Diabetic Shoes & Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHEASTERN DIABETIC SHOES & SUPPLIES LLC

Practice address

3620 Legion Rd
Suite 206
Hope Mills, NC 28348-8412

Phone

(910) 424-1737

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Clayton

Title

Director

Phone

(910) 424-1737

Specialties & licenses 1

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Ralph L Clayton III

  dba Southeastern Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Wilson, NC
  • NPI 1730236126

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1700144110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LEGION RD",
            "address_2": "SUITE 206",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488412",
            "telephone_number": "910-424-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LEGION RD",
            "address_2": "SUITE 206",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488412",
            "telephone_number": "910-424-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DIABETIC SHOES & SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-424-1737"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Smith
• Blair Lawrence Smith, DENTIST
• Eric J Smith, PHARMD
• James Haywood Smith Sr., PHARMACIST
• Jennifer Smith, FNP
• Southeastern Health Physician Services (Southeastern Medical Clinic Gray's Creek)
• Southeastern Regional Medical Center (Southeastern Medical Clinic Gray's Creek)
• Southeastern Regional Physician Services (Southeastern Multi-Specialty Clinic Gray's Creek)
• Southern Angels Home Health Care
• Specialized Office Solutions

• Durable Medical Equipment & Medical Supplies in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.