Healthcare Provider Details

I. General information

NPI: 1376594101
Provider Name (Legal Business Name): JANICE M WIGGINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE M HILL MD

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 S MAIN ST STE 104
HIGH POINT NC
27263-1900
US

IV. Provider business mailing address

PO BOX 746724
ATLANTA GA
30374-6724
US

V. Phone/Fax

Practice location:
  • Phone: 336-200-7003
  • Fax: 336-450-1708
Mailing address:
  • Phone: 312-644-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number41793
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number201603183
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40772
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: