Individual
MR. CAROL POHL WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2828 MAPLEWOOD AVE, SUITE A, WINSTON SALEM, NC 27103-4138
(336) 765-4703
(336) 765-1396
Mailing address
2828 MAPLEWOOD AVE, SUITE A, WINSTON SALEM, NC 27103-4138
(336) 765-4703
(336) 765-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
445
NC
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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