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1528040326
MICHAEL G WIGGINS
VIDALIA, GA
NPI
1528040326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA r102724)
Enumeration Date
2005-11-17
Last Update Date
2014-12-08
Business Address
-- MICHAEL G WIGGINS FNP
205 ARLINGTON DR
VIDALIA, GA 30474-7209
Phone number: 912-537-2530
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Mailing Address
-- MICHAEL G WIGGINS FNP
205 ARLINGTON DR
VIDALIA, GA 30474-7209
Phone number: 912-537-2530
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