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The Wig Dr.
Prosthetic/Orthotic Supplier in Marietta, Georgia
NPI 1518734052

The Wig Dr. is a Prosthetic/Orthotic Supplier based in Marietta, GA. The Wig Dr. practices in Marietta, GA. The NPI Number for The Wig Dr. is 1518734052 and holds a License No. (Georgia).

The current practice location address for The Wig Dr. is 4939 Lower Roswell Rd, Marietta, GA and can be reached out via phone at 678-540-2488 and via fax at 770-202-2661. You can also correspond with The Wig Dr. through the mailing address at 373 SUMMIT VILLAGE DR, MARIETTA, GA - 30066-5961 (mailing address contact number: 678-600-4568).

Location: 4939 Lower Roswell Rd, Marietta, GA, 30066-5961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518734052
Provider Name
The Wig Dr.
Credential
Provider Entity Type
Organization
Address
4939 Lower Roswell Rd, Marietta, GA, 30066-5961
Phone Number
678-540-2488
Fax Number
770-202-2661
Provider Enumeration Date
12/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4939 Lower Roswell Rd
City
Marietta
State
Georgia
Zip
30068-4338
Phone Number
678-540-2488
Fax Number
770-202-2661
person
Provider Business Mailing Address Details
Address
4939 Lower Roswell Rd
City
Marietta
State
Georgia
Zip
30068-4338
Phone Number
678-540-2488
Fax Number
770-202-2661
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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