Individual
DR. THOMAS B WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON-SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
29054
NC
2085R0202X
Diagnostic Radiology Physician
Primary
29054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8987361
—
NC
Enumeration date
04/25/2006
Last updated
09/14/2016
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