Individual
DR. MARK S WIGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1780 PEACHTREE PKWY STE 301, CUMMING, GA 30041
(770) 205-2520
(770) 456-5994
Mailing address
1780 PEACHTREE PKWY STE 301, CUMMING, GA 30041-6834
(770) 205-2520
(770) 456-5994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001674
GA
Other
Enumeration date
05/11/2006
Last updated
07/19/2018
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