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General NPI Number Information
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NPI Number | 1427080902
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Entity Type | Individual
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Provider Name | ASHLEY C WIGGINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 219A N MINE ST
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City | MC CORMICK
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State | SC
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Zip | 29835-8363
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Country | US
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Telephone | 864-852-3336
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Fax | 864-852-3339
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Provider Business Mailing Address
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Address Line | 313 MAIN ST SUITE B
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City | GREENWOOD
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State | SC
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Zip | 29646-2757
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Country | US
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Telephone | 864-388-0301
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Fax | 864-388-0648
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26951
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License Number State | SC
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