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General NPI Number Information
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NPI Number | 1407853351
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Entity Type | Individual
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Provider Name | DOROTHY P. WIGGINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 4579 S COBB DR SE STE 300
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City | SMYRNA
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State | GA
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Zip | 30080-6389
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Country | US
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Telephone | 404-699-1339
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Fax | 404-699-1380
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Provider Business Mailing Address
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Address Line | 4579 S COBB DR SE STE 300
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City | SMYRNA
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State | GA
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Zip | 30080-6389
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Country | US
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Telephone | 404-699-1339
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Fax | 404-699-1380
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 045137
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License Number State | GA
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