NPI 1275809576

Jeanette Diane Wiggleton

Practitioner Case Manager/Care Coordinator Augusta, GA

Practice location

Address: 3216 Peninsula Dr, Augusta, GA 30909-0603
Phone: (706) 814-3404
Fax: (706) 868-6585

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1275809576
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.