Individual
DR. DIANE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018
(540) 345-8896
(540) 343-0722
Mailing address
4461 STARKEY RD, SUITE 201, ROANOKE, VA 24018
(540) 345-8896
(540) 982-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101042677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110127677
RAILROAD MEDICARE
VA
05
—
1982658811
—
VA
01
—
263824
ANTHEM
VA
01
—
287246
SOUTHERN HEALTH
VA
01
—
4293175
AETNA
VA
01
—
7890997
CIGNA
VA
Enumeration date
05/22/2006
Last updated
04/21/2011
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