Individual
PAMELA W WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 8TH AVE, AYNOR, SC 29511-3222
(843) 358-2005
(843) 358-2007
Mailing address
PO BOX 645, AYNOR, SC 29511-0645
(184) 335-8200
(843) 358-2007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-0128
SC
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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