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1417470162
VICY WIGGINS CARROLL
TIFTON, GA
NPI
1417470162
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Former Name
VICY LYN WIGGINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN086037)
Enumeration Date
2017-07-24
Last Update Date
2018-11-20
Business Address
VICY WIGGINS CARROLL MN, RN, NP-C
1622 MADISON AVE
TIFTON, GA 31794-3756
Phone number: 229-387-8061
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Mailing Address
VICY WIGGINS CARROLL MN, RN, NP-C
1100 WARD STREET EXT W
DOUGLAS, GA 31533-1902
Phone number: 912-384-1477
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