NPI 1629409719

Shaddai Wiggs, MEDCCCSLP

Practitioner Developmental Therapist McDonough, GA

Practice location

Address: 372 Racetrack Rd, McDonough, GA 30252-1022
Phone: (678) 272-7333
Mailing address: 935 City Park Dr, McDonough, GA 30252-1026

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Georgia →

Registry record

NPI: 1629409719
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2013
Record last updated: 20 Mar 2020

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.