OrganizationActive
Country Cobbler, Ltd.
NPI 1255681797 · Prosthetic/Orthotic Supplier · Durham, NC
Provider details
- NPI number
- 1255681797
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Monty Mantey, President/Ownder(910) 772-9994
- License
- 00992 (NC)
Specialties & taxonomies
Suppliers
Practice location
6815 Fayetteville Road
#102
Durham, NC 27713-7081
Phone: (919) 248-0850
Fax: (919) 248-0935
Approximate (ZIP-level) locationGet directions
Mailing address
6815 Fayetteville Road
Durham, NC 27713
Registry dates
- Enumerated
- 2012-09-12
- Last updated
- 2014-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.