Organization
THE WIG DR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA GAMBLE (OWNER)
(678) 540-2488
Entity
Organization
Contact information
Practice address
4939 LOWER ROSWELL RD, MARIETTA, GA 30068-4338
(678) 540-2488
(770) 202-2661
Mailing address
373 SUMMIT VILLAGE DR, MARIETTA, GA 30066-5961
(678) 600-4568
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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