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Vicy Wiggins Carroll, MN,RN,NP-C
Family Nurse Practitioner in Tifton, Georgia
NPI 1417470162

Vicy Wiggins Carroll is a Family Nurse Practitioner based in Douglas, GA and is specialized in Family. Vicy Wiggins Carroll practices in Tifton, GA and has the professional credentials of MN,RN,NP-C. The NPI Number for Vicy Wiggins Carroll is 1417470162 and holds a License No. RN086037 (Georgia).

The current practice location address for Vicy Wiggins Carroll is 1622 Madison Ave, Tifton, GA and can be reached out via phone at 229-387-8061.

Location: 1622 Madison Ave, Tifton, GA, 31533-1902
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Provider Profile Details
NPI Number
1417470162
Provider Name
Vicy Wiggins Carroll
Credential
MN,RN,NP-C
Provider Entity Type
Individual
Gender
Female
Address
1622 Madison Ave, Tifton, GA, 31533-1902
Phone Number
229-387-8061
Fax Number
Provider Enumeration Date
07/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN086037 01 GA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1622 Madison Ave
City
State
Zip
31794-3756
Phone Number
229-387-8061
Fax Number
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Provider Business Mailing Address Details
Address
1622 Madison Ave
City
State
Zip
31794-3756
Phone Number
229-387-8061
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN086037 (Georgia)
Definition
Definition to come...
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