Individual
ROY GLEN WIGGANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 OLD JEFFERSON RD, BLDG. 700, ATHENS, GA 30607-1400
(706) 353-2990
Mailing address
310 SKYLINE PKWY, ATHENS, GA 30606-3867
(706) 353-0497
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
027468
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309933A
—
GA
Enumeration date
05/22/2006
Last updated
03/07/2023
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