Individual
ANDRONICA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 MEDICAL CENTER BLVD STE 200, LAWRENCEVILLE, GA 30046-7765
(404) 962-6000
(404) 962-6001
Mailing address
2200 MEDICAL CENTER BLVD STE 200, LAWRENCEVILLE, GA 30046-7765
(404) 962-6000
(404) 962-6001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN165716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154983A
—
GA
05
—
003154983C
—
GA
Enumeration date
09/16/2014
Last updated
10/21/2025
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