Individual
DR. GREGORY B. WIGGINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD, PA
Contact information
Practice address
2170 ASHLEY PHOSPHATE RD, SUITE 600, NORTH CHARLESTON, SC 29406-4190
(843) 569-1717
(843) 569-6139
Mailing address
2170 ASHLEY PHOSPHATE RD, SUITE 600, NORTH CHARLESTON, SC 29406-4190
(843) 569-1717
(843) 569-6139
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0513
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3375
—
SC
Enumeration date
04/26/2006
Last updated
07/09/2007
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