Individual
KAREN CLARKE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2435 FOREST DRIVE, PROVIDENCE HOSPITAL, COLUMBIA, SC 29204
(803) 256-5600
Mailing address
109 EDGERTON LN, LEXINGTON, SC 29072-8340
(803) 957-2199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101072
SC
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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