Individual
DR. LEWIS MARK WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19TH MEDICAL GROUP, JACKSONVILLE, AR 72099-0001
(501) 987-7319
(501) 987-1464
Mailing address
19TH MEDICAL GROUP, JACKSONVILLE, AR 72099-0001
(501) 987-7319
(501) 987-1464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-11376
AR
Other
Enumeration date
07/11/2011
Last updated
04/27/2018
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