Lisa Wiggins, REGISTERED DIETITIAN

NPI #1508308362 in Dacula, Georgia

Provider Information

NPI Number
1508308362
Entity Type
Individual
Name
Lisa Wiggins, REGISTERED DIETITIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
REGISTERED DIETITIAN
Enumeration Date
Nov 10, 2016
Last Updated
Nov 10, 2016

Practice Location

Address
920 WINNBROOK DR
City
Dacula
State
Georgia
ZIP Code
30019-2079
Phone
(678) 758-6042

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Provider Name
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