Organization
FOOTLOGIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LYNN WIGGEN II BOCO, CO (OWNER)
(828) 697-0048
Entity
Organization
Contact information
Practice address
107 E WALKER ST, EAST FLAT ROCK, NC 28726-2235
(828) 697-0048
(828) 698-6882
Mailing address
107 E WALKER ST, EAST FLAT ROCK, NC 28726-2235
(828) 697-0048
(828) 698-6882
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
02/06/2008
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