Wiggins, Derek

Wiggins, Derek is an individual health care provider with primary practice located at 713 Winfield Dunn Pkwy Ste 9 , Sevierville TN 37876-5533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wiggins, Derek can be contacted via phone (865) 429-9110.

Contact Information

Primary practice address
713 Winfield Dunn Pkwy Ste 9 Sevierville TN 37876-5533
Phone: (865) 429-9110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4837 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601009759 Michigan

Profile Details

NPI number 1538789383
LBN Legal business name Wiggins, Derek
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2020
Last updated Aug 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538789383 NPPES
Tennessee Other 4837 STATE LICENCE
Tennessee Other 5601009759 STATE LICENCE

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