Organization
MCGLOTHLIN WIG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE R MCGLOTHLIN (OWNER)
(276) 669-1650
Entity
Organization
Contact information
Practice address
525 STATE ST, BRISTOL, VA 24201-4314
(276) 669-1650
(276) 466-1787
Mailing address
525 STATE ST, BRISTOL, VA 24201-4314
(276) 669-1650
(276) 466-1787
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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