Wiggins Primary Care
NPI #1740293257 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1740293257
- Entity Type
- Organization
- Organization Name
- Wiggins Primary Care
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 975 HALL ST
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-2107
- Phone
- (601) 528-9119
Authorized Official
- Name
- MS. KATHY FENDER
- Title
- ADMINISTRATOR
- Phone
- (601) 947-8181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Rural Health — Rural Health |
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