Individual
TEKEILLA RENADA WIGFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1386 ANDERSON RD, RIDGE SPRING, SC 29129-9184
(803) 618-9356
Mailing address
1386 ANDERSON RD, RIDGE SPRING, SC 29129-9184
(803) 618-9356
(803) 618-9356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
249181
SC
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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