Organization
THE WIG SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER TIMBARIO (OWNER)
(615) 891-1417
Entity
Organization
Contact information
Practice address
8005 CHURCH ST E, BRENTWOOD, TN 37027-5278
(615) 891-1417
(615) 891-1418
Mailing address
8005 CHURCH ST E, BRENTWOOD, TN 37027-5278
(615) 891-1417
(615) 891-1418
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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