Individual
KENT JOSEPH WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2210 MOSSY OAKS RD, PORT ROYAL, SC 29935-1046
(843) 379-9047
(843) 379-9048
Mailing address
2210 MOSSY OAKS RD, PORT ROYAL, SC 29935-1046
(843) 379-9047
(843) 379-9048
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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