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Individual
DR. GREGORY MARK WIGGINS
Active
Individual
DR. GREGORY MARK WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
—
1254360001
DMERC
—
01
—
1477535474
BLUE CROSS
—
Enumeration date
11/16/2005
Last updated
11/13/2007
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