Individual
BRITIAN WIGFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 957-9898
Mailing address
131 SHARON CIR, AMERICUS, GA 31709-2721
(229) 939-0315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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