Most Relevant Information
Provider Data
  | NPI Number: | 1003551268 | 
| Provider Name: | TAMEKIA C WIGGINS | 
| Entity Type: | Individual | 
| Taxonomy Code: | 251E00000X | 
| Specialty: | Home Health | 
| License Number: | CN0030050885 | 
Most Important Dates
  | Enumeration Date: | 05/02/2022 | 
| Last Updated: | 05/02/2022 | 
Provider Practice Location
  3206 RIDGECREST DR # 3206
      
      AUGUSTA
      GA
      309074841
  Practice Location Phone/Fax
      | Phone: | 7068345779 | 
| Fax: | 
Provider Mailing Location
  3206 RIDGECREST DR # 3206
      
      AUGUSTA
      GA
      309074841
  Provider Mailing Phone/Fax
      | Phone: | 7068345779 | 
| Fax: |