MEDICARE: FOOTLOGIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1447276639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOTLOGIC, INC.

Provider Business Mailing Address
First Line	:	107 E WALKER ST
Second Line	:
City	:	EAST FLAT ROCK
State	:	NC
Zip	:	28726-2235
Country	:	US
Telephone Number	:	828-697-0048
Fax Number	:	828-698-6882

Provider Business Practice Location Address
First Line	:	107 E WALKER ST
Second Line	:
City	:	EAST FLAT ROCK
State	:	NC
Zip	:	28726-2235
Country	:	US
Telephone Number	:	828-697-0048
Fax Number	:	828-698-6882

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRIAN LYNN WIGGEN II
Credential	:	BOCO, CO
Telephone Number	:	828-697-0048

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	02/06/2008

Similar Medicare Providers

1710221197 — WESTERN CAROLINA O & P
Practice Location Address:

107 E WALKER ST
EAST FLAT ROCK, NC
28726-2235

Practice Phone: 828-595-9371
Practice Fax: 828-595-9373

1770130551 — LEVEL FOUR ORTHOTICS AND PROSTHETICS
Practice Location Address:

107 E WALKER ST
EAST FLAT ROCK, NC
28726-2235

Practice Phone: 828-595-9371
Practice Fax: 828-595-9373

1245940097 — BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Practice Location Address:

107 E WALKER ST
EAST FLAT ROCK, NC
28726-2235

Practice Phone: 828-595-9371
Practice Fax: 828-595-9373

1447692850 — TRUE CARE PHARMACY INC
Practice Location Address:

2235 HIGHWAY 79
BIG ROCK, TN
37023-3070

Practice Phone: 931-232-4008
Practice Fax: 931-232-8844

1205312097 — SARA CAITLIN GODWIN ATC, LAT, CES, CPT
Practice Location Address:

2235 LIME ROCK RD
VESTAVIA HILLS, AL
35216-3314

Practice Phone: 334-559-4953
Practice Fax:

1740310051 — VOCATIONAL SOLUTIONS OF HENDERSON COUNTY
Practice Location Address:

2110 SPARTANBURG HWY
EAST FLAT ROCK, NC
28726-2135

Practice Phone: 828-692-9626
Practice Fax: 828-692-6617

Directions to “FOOTLOGIC, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.