IndividualActive
Shaddai Wiggs, M.ED., CCC-SLP
NPI 1629409719 · Developmental Therapist · Mcdonough, GA
Provider details
- NPI number
- 1629409719
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.ED., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
372 Racetrack Rd
Mcdonough, GA 30252-1022
Phone: (678) 272-7333
Approximate (ZIP-level) locationGet directions
Mailing address
935 City Park Dr
Mcdonough, GA 30252-1026
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2020-03-20
- Certified
- 2020-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.