Individual
EMILY LAUREN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 BELLE CHASSE HWY STE 204, TERRYTOWN, LA 70056-7156
(504) 722-9086
(504) 277-0445
Mailing address
3520 OAK HARBOR BLVD APT 218, SLIDELL, LA 70461-5663
(205) 908-8106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
338926
LA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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