Individual
CAROL ANN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 PEACHTREE ST. NW, SUITE 720, ATLANTA, GA 30309-2511
(404) 351-7520
(404) 355-2048
Mailing address
1800 PEACHTREE ST. NW, SUITE 720, ATLANTA, GA 30309-2511
(404) 351-7520
(404) 355-2048
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
027134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000391454C
—
GA
01
—
030001445
RAILROAD MEDICARE
GA
01
—
0481392
AETNA
—
01
—
1472
COVENTRY
—
01
—
1591744008
CIGNA
—
01
—
238523
BCBS
—
01
—
8792
KAISER
—
Enumeration date
06/29/2006
Last updated
04/06/2012
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