| Wiggins Foot And Ankle Associates P.c. | |
|
205 Arlington Dr, Vidalia, GA 30474-7209 | |
| (912) 537-2559 | |
| (912) 537-9668 |
| Full Name | Wiggins Foot And Ankle Associates P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 205 Arlington Dr, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104030824 | NPI | - | NPPES |
| 00725018A | Medicaid | GA | |
| DG1916 | Other | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD000802 (Georgia) | Primary |
| Provider Name | Gregory M Wiggins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477535474 PECOS PAC ID: 0648166355 Enrollment ID: I20040301000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Wiggins Foot And Ankle Associates P.c. 205 Arlington Dr, Vidalia, GA 30474-7209 Ph: (912) 537-2559 | Wiggins Foot And Ankle Associates P.c. 205 Arlington Dr, Vidalia, GA 30474-7209 Ph: (912) 537-2559 |
Southeast Regional Primary Care Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Ln Ste H, Vidalia, GA 30474 Phone: 912-538-0040 | |
Dr. Gregory Mark Wiggins, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2559 Fax: 912-537-9668 |