Organization
THE WHEELCHAIR PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN SCOTT WILLIS (VICE PRESIDENT)
(828) 855-9099
Entity
Organization
Contact information
Practice address
920 TATE BLVD SE STE 104, HICKORY, NC 28602-4032
(828) 855-9099
(828) 855-9098
Mailing address
920 TATE BLVD SE STE 104, HICKORY, NC 28602-4032
(828) 855-9099
(828) 855-9098
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704827
—
NC
Enumeration date
11/20/2007
Last updated
05/15/2012
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