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Dr. Gregory Mark Wiggins, DPM
Foot & Ankle Surgery Podiatrist in Vidalia, Georgia
NPI 1477535474

Gregory Mark Wiggins is a Foot & Ankle Surgery Podiatrist based in Vidalia, GA and is specialized in Foot & Ankle Surgery. Gregory Mark Wiggins practices in Vidalia, GA and has the professional credentials of DPM. The NPI Number for Gregory Mark Wiggins is 1477535474 and holds a License No. POD000802 (Georgia).

The current practice location address for Gregory Mark Wiggins is 205 Arlington Dr, Vidalia, GA and can be reached out via phone at 912-537-2559 and via fax at 912-537-9668.

Location: 205 Arlington Dr, Vidalia, GA, 30474-7209
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Provider Profile Details
NPI Number
1477535474
Provider Name
Gregory Mark Wiggins
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
205 Arlington Dr, Vidalia, GA, 30474-7209
Phone Number
912-537-2559
Fax Number
912-537-9668
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1254360001 01 DMERC
1477535474 01 BLUE CROSS
00725018A 05 GA
institution
Provider Business Practice Location Address Details
Address
205 Arlington Dr
City
State
Zip
30474-7209
Phone Number
912-537-2559
Fax Number
912-537-9668
person
Provider Business Mailing Address Details
Address
205 Arlington Dr
City
State
Zip
30474-7209
Phone Number
912-537-2559
Fax Number
912-537-9668
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD000802 (Georgia)
Definition
Definition to come...
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