Individual
TAMI WIGGINS HEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 FISHERMAN LN, GREENVILLE, SC 29615-5013
(844) 242-7956
Mailing address
47 FISHERMAN LN, GREENVILLE, SC 29615-5013
(844) 242-7956
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
205654
SC
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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