Male or Other

Ian T. Wrigglesworth PA-C

Physician Assistant in Fort Liberty, NC(View on Map)

Full Name

Ian Tyda Wrigglesworth PA-C

NPI Number

1841872744

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/21/2021

Specialties

(Taxonomies)

Code

363A00000X
171000000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER

City

Fort Bragg
Fort Liberty

State

NC
NC

Postal Code

28310-0001
28310-0001

Country

US
US

Telephone Number

(910) 907-8922
(910) 907-8922

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

AHLTA

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

MEDDAC-K TMCUnit 15609APO, AP96224US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2024

Provider Address

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