Organization
CHARLES C WIGGINS OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C WIGGINS (OWNER)
(919) 854-2482
Entity
Organization
Contact information
Practice address
8500 GLENLAKE CT, RALEIGH, NC 27606-9369
(919) 854-2482
Mailing address
8500 GLENLAKE CT, RALEIGH, NC 27606-9369
(919) 854-2482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1094
NC
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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