Provider Demographics
NPI:1427080902
Name:WIGGINS, ASHLEY C (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:C
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:313 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-2757
Mailing Address - Country:US
Mailing Address - Phone:864-388-0301
Mailing Address - Fax:864-388-0648
Practice Address - Street 1:219A N MINE ST
Practice Address - Street 2:
Practice Address - City:MC CORMICK
Practice Address - State:SC
Practice Address - Zip Code:29835-8363
Practice Address - Country:US
Practice Address - Phone:864-852-3336
Practice Address - Fax:864-852-3339
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC26951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCBW8932988OtherDEA
SCRES000Medicare UPIN