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1457949489
THE WIG PHYSICIAN LLC
SALISBURY, NC
NPI
1457949489
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Entity Type
Organization
Authorized Contact
MELISSA E WASHINGTON
Owner
980-406-9962
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
THE WIG PHYSICIAN LLC
109 STONE RIDGE DR
SALISBURY, NC 28146-6300
Phone number: 980-406-9962
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Mailing Address
THE WIG PHYSICIAN LLC
123 INSTITUTE ST UNIT 202
MOORESVILLE, NC 28115-4908
Phone number: 980-406-9962
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