Wiggins Foot And Ankle Associates P.C.
Podiatrist, Foot & Ankle Surgery in Vidalia, GA. Organization (NPI-2).
NPI number1104030824
StatusActive
Last updated in NPPESNov 27, 2007
Details
- NPI
- 1104030824
- Entity type
- Organization (NPI-2)
- Legal business name
- Wiggins Foot And Ankle Associates P.C.
- Organization subpart
- No
- Enumeration date
- May 10, 2007
- Last updated
- Nov 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | POD000802 | GA | Yes |
Practice location
205 Arlington DrVidalia, GA 30474-7209
Phone 912-537-2559 · Fax 912-537-9668
Mailing address
205 Arlington DrVidalia, GA 30474-7209
Phone 912-537-2559 · Fax 912-537-9668
Authorized official
Gregory Mark Wiggins
President
9125372559
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