Individual
CHRISTI PRENTICE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(803) 744-4900
Mailing address
2706 JUNIPER RD, FLORENCE, SC 29501-5916
(843) 409-1899
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22615
SC
363LF0000X
Family Nurse Practitioner
22615
SC
Other
Enumeration date
02/08/2019
Last updated
09/16/2021
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