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Organization

THE WIG PHYSICIAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA E WASHINGTON (OWNER)
(980) 406-9962
Entity
Organization

Contact information

Practice address
109 STONE RIDGE DR, SALISBURY, NC 28146-6300
(980) 406-9962
Mailing address
123 INSTITUTE ST UNIT 202, MOORESVILLE, NC 28115-4908
(980) 406-9962

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
01/05/2021
Last updated
01/05/2021
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