Wiggs, Lolita D
Wiggs, Lolita D is an sole proprietor health care provider with primary practice located at 3711 Executive Center Dr Suite 101, Martinez GA 30907-0951. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wiggs, Lolita D can be contacted via phone (706) 210-8855.Contact Information
Primary practice address
3711 Executive Center Dr Suite 101
Martinez GA 30907-0951
Phone: (706) 210-8855
Fax: (678) 541-7699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC008158 | Georgia |
Profile Details
| NPI number | 1508110800 |
|---|---|
| LBN Legal business name | Wiggs, Lolita D |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2012 |
| Last updated | Dec 30th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508110800 | NPPES |
| Georgia | MEDICAID | 003153686A |
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