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Individual

BILLY W. WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2900
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2900

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
85107
SC

Other

Enumeration date
03/13/2014
Last updated
03/13/2014
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