Organization
A SPECIAL PLACE WIGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMELA HODGSON (OWNER)
(336) 574-0100
Entity
Organization
Contact information
Practice address
3606 N ELM ST STE F, GREENSBORO, NC 27455-2603
(336) 574-0100
(336) 271-4828
Mailing address
3606 N ELM ST STE F, GREENSBORO, NC 27455-2603
(336) 574-0100
(336) 271-4828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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