Individual
DR. ARETHA WIGGS-GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
480 RUIN CREEK RD, HENDERSON, NC 27536-2929
(252) 492-3152
Mailing address
480 RUIN CREEK RD, HENDERSON, NC 27536-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102201482
VA
207Q00000X
Family Medicine Physician
Primary
200301191
NC
207Q00000X
Family Medicine Physician
211390
NY
Other
Enumeration date
02/17/2006
Last updated
01/22/2008
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