Individual
MR. ALTON RANCE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 386-4242
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2051
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1101051
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051555088
BLUE CROSS
AL
05
—
051555088
—
AL
Enumeration date
05/17/2006
Last updated
08/21/2014
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