Individual
DR. SHENEKIA AYANA WELLS WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
5207 MEADOW OAKS PARK DR, JACKSON, MS 39211-4820
(769) 216-2913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3527-09
MS
Other
Enumeration date
09/28/2009
Last updated
09/26/2017
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