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Individual

ERIC HUNT WIGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3990 N ILLINOIS ST, SWANSEA, IL 62226-1919
(618) 277-1130
(618) 277-4917
Mailing address
3990 N ILLINOIS ST, SWANSEA, IL 62226-1919
(618) 277-1130
(618) 277-4917

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29048
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051117253
BCBS
AL
01
051117254
BCBS
AL
01
051117258
BCBS
AL
01
051117259
BCBS
AL
01
051117260
BCBS
AL
01
051117262
BCBS
AL
05
07805726
MS
05
128645
AL
05
128646
AL
05
128660
AL
05
128661
AL
05
128662
AL
05
128667
AL
Enumeration date
11/16/2007
Last updated
07/27/2012
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