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Individual

MS. PENNY E. WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2450 VINSON HWY SE, MILLEDGEVILLE, GA 31061-4881
(478) 445-7904
(478) 452-8054
Mailing address
2429 HOLLY DR, MILLEDGEVILLE, GA 31061-4952
(478) 452-8054
(478) 452-8054

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
140155
GA

Other

Enumeration date
02/01/2012
Last updated
08/16/2016
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