Individual
TAMEKIA C WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 RIDGECREST DR # 3206, AUGUSTA, GA 30907-4841
(706) 834-5779
Mailing address
3206 RIDGECREST DR # 3206, AUGUSTA, GA 30907-4841
(706) 834-5779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CN0030050885
GA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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