Organization
ARLANA'S MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI ARLANA JACKSON (OWNER/MANAGING MEMBER)
(843) 474-1407
Entity
Organization
Contact information
Practice address
332 W MAIN ST, LATTA, SC 29565-1510
(843) 474-1407
(843) 474-1407
Mailing address
332 W MAIN ST, LATTA, SC 29565-1510
(843) 474-1407
(843) 474-1407
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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