Organization
WIGGINS HOSPITAL SERVICES
Active
Parent organization
WIGGINS PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIGGINS PRIMARY CARE
Authorized official
KATHY L FENDER (ADMINSTRATOR)
(601) 947-8181
Entity
Organization
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-8181
(601) 947-4411
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-8181
(601) 947-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
10/14/2019
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