Individual
DEMARCUS G WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, QBHP
Contact information
Practice address
3895 GEORGE ANDERSON RD, SPRINGDALE, AR 72764-8251
(479) 521-1532
Mailing address
3895 GEORGE ANDERSON RD, SPRINGDALE, AR 72764-8251
(479) 521-1532
(479) 521-9940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
AR
05
—
237641795
—
AR
Enumeration date
12/17/2019
Last updated
08/22/2022
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