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Individual
KELTON BANKS WIGINGTON
Active
Individual
KELTON BANKS WIGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL36094
SC
207W00000X
Ophthalmology Physician
Primary
36094
SC
Other
Enumeration date
07/11/2013
Last updated
08/07/2025
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