KENT JOSEPH WIGGINS

PORT ROYAL, SC
NPI1861629446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2009-06-22
Last Update Date2009-06-22
Business Address
-- KENT JOSEPH WIGGINS CPO
2210 MOSSY OAKS RD
PORT ROYAL, SC 29935-1046
Phone number: 843-379-9047
Mailing Address
-- KENT JOSEPH WIGGINS CPO
2210 MOSSY OAKS RD
PORT ROYAL, SC 29935-1046
Phone number: 843-379-9047