Charles Clayton Wiggins O.D.

NPI 1861595811 - Optometrist - 152W00000X

NPI Details
NPI 1861595811
Gender Male
Enumeration Date 09/06/2006
Last Updated 08/25/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
7100 SIX FORKS RD
SUITE 301
RALEIGH NC, 27615-6156, US
Phone (919) 847-0187
Fax (919) 863-2862
Business Location
2346 WALNUT ST
CARY NC, 27518-9210, US
Phone (919) 851-0093
Fax (919) 859-4172
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1094
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According to our database, Dr. Charles Clayton Wiggins O.D. NPI is 1861595811, taxonomy code is 152W00000X and license number is 1094, license state is located at North Carolina. Charles Clayton Wiggins O.D. physically located at 7100 Six Forks Rd, Raleigh NC, 27615-6156. NPI Number Charles Clayton Wiggins O.D. has the Individual type.

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1861595811 NPI number is provided on an as is basis without warranty of any kind. 1861595811 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Clayton Wiggins O.D. are for informational purposes only.