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Organization
WIGGINS FOOT AND ANKLE ASSOCIATES P.C.
Active
Organization
WIGGINS FOOT AND ANKLE ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MARK WIGGINS D.P.M. (PRESIDENT)
(912) 537-2559
Entity
Organization
Contact information
Practice address
205 ARLINGTON DR, VIDALIA, GA 30474-7209
(912) 537-2559
(912) 537-9668
Mailing address
205 ARLINGTON DR, VIDALIA, GA 30474-7209
(912) 537-2559
(912) 537-9668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000802
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00725018A
—
GA
01
—
DG1916
RR MCR
—
Enumeration date
05/10/2007
Last updated
11/27/2007
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