Wiggins, Sylena Mosely

Wiggins, Sylena Mosely is an individual health care provider with primary practice located at 100 South West Street , Bainbridge GA 39817. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wiggins, Sylena Mosely can be contacted via phone (229) 248-2837.

Contact Information

Primary practice address
100 South West Street Bainbridge GA 39817
Fax: (229) 248-2844
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005081 Georgia

Profile Details

NPI number 1558321125
LBN Legal business name Wiggins, Sylena Mosely
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 24th, 2014 - about 11 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 1558321125 NPPES
Georgia MEDICAID 463964078A

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