Individual provider · Type 1 NPI

Edith Losey Wigman, PHYSICIAN ASSISTANT

Medical Physician Assistant · Kinston, NC

NPI number 1306985643 Active

Practice location

2415 W Vernon Avenue, Caswell Center
Kinston, NC 28504

Fax (252) 208-4035

Mailing address

1987 Banks School Road
Kinston, NC 28504

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X101945 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1306985643

Edith Losey Wigman, PHYSICIAN ASSISTANT's National Provider Identifier is 1306985643, issued on Feb 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kinston, NC. The record was last updated on Jul 9, 2007.