| Organization Name: | WIGGINS FOOT AND ANKLE ASSOCIATES P.C. |
| NPI Number: | 1104030824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY MARK WIGGINS (PRESIDENT) |
| Mailing Address: | 205 Arlington Dr Vidalia |
| State: | GA US |
| Postal Code: | 304747209 |
| Phone Number: | 9125372559 |
| Fax Number: | 9125379668 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD000802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |