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Individual

DR. JACLYN WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-1552
(434) 924-8604
(434) 244-9470
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
267164
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101266723
VA

Other

Enumeration date
05/26/2016
Last updated
07/14/2022
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