| Wiggins Family Practice Inc. | |
|
205 Arlington Dr Vidalia GA 30474-7209 | |
| (912) 537-2530 | |
| (912) 537-2540 |
| Full Name | Wiggins Family Practice Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Arlington Dr, Vidalia, Georgia |
| Authorized Official Name and Position | Michael G Wiggins (FNP/CEO) |
| Authorized Official Contact | 9125372530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiggins Family Practice Inc. 205 Arlington Dr Vidalia GA 30474-7209 Ph: (912) 537-2530 | Wiggins Family Practice Inc. 205 Arlington Dr Vidalia GA 30474-7209 Ph: (912) 537-2530 |
| NPI Number | 1316126139 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 12/08/2014 |
| Medicare PECOS PAC ID | 5395930267 |
|---|---|
| Medicare Enrollment ID | O20101117000949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316126139 | NPI | - | NPPES |
| DQ8960 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R102724 (Georgia) | Primary |
| Provider Name | Michael G Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528040326 PECOS PAC ID: 6204021173 Enrollment ID: I20101118000003 |
Vidalia Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Meadows Medical Group Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120 | |
Optim Primary Care-vidalia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Edwina Drive, Vidalia, GA 30474 Phone: 912-537-9779 Fax: 912-537-2124 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 | |
Williams Rural Surgical & Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Meadows Ln, Vidalia, GA 30474 Phone: 912-245-4179 Fax: 912-403-3346 |