Individual
DR. JASON PAUL WIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
950 48TH AVE N STE 101, MYRTLE BEACH, SC 29577-5434
(843) 491-9008
(843) 491-9009
Mailing address
950 48TH AVE N STE 101, MYRTLE BEACH, SC 29577-5434
(843) 491-9008
(843) 491-9009
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4013
SC
231H00000X
Audiologist
A01894
OH
237600000X
Audiologist-Hearing Aid Fitter
4013
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1527
—
SC
Enumeration date
05/18/2014
Last updated
07/06/2022
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