Provider Demographics
NPI:1649225475
Name:S&S LLC
Entity Type:Organization
Organization Name:S&S LLC
Other - Org Name:FEET FOR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:205-424-9199
Mailing Address - Street 1:811 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-5320
Mailing Address - Country:US
Mailing Address - Phone:205-424-9199
Mailing Address - Fax:205-424-9189
Practice Address - Street 1:811 10TH AVE N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-5320
Practice Address - Country:US
Practice Address - Phone:205-424-9199
Practice Address - Fax:205-424-9189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI859Medicare PIN
AL4645050001Medicare NSC