EASTERN SHORE DEVELOPMENTAL CLINIC
Nursing at Kensington Pl, Daphne, AL

License number
Alabama 00008950
Category
Medical Practice
Type
Pediatrics
License number
Alabama 1076812
Category
Nursing
Type
Nurse Practitioner
Owner
Name: DR. WARNER MERRILL WIGGINS MD
Title: OFFICAL
Phone: (251) 402-5589
Address
Address
26420 Kensington Pl STE A, Daphne, AL 36526
National Provider ID: 1023455953
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EASTERN SHORE DEVELOPMENTAL CLINIC at bizstanding.com

Eastern Shore Developmental Clinic LLC

Daphne, AL  -  Fairhope, AL

Industry:
PRIMARY CARE PEDIATRIC DEVELOPMENTAL CLINIC
Registration:
Apr 15, 2013
Addresses:
Daphne, AL 36526 (Physical)
Fairhope, AL 36533 (Mailing)
State ID:
278-530
Business type:
Domestic Limited Liability Company
Formation place:
Baldwin County
Manager:
Julie Wiggins (manager), Fairhope, AL 36533 (Mailing)
Agent:
V-Corp Services,Daphne, AL 36526 (Physical)

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