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Organization

JERRY MARK WIGLEY MD

Active
Other names
Walk-In MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY MARK WIGLEY M.D. (M.D./OWNER)
(770) 387-4544
Entity
Organization

Contact information

Practice address
179 PINE GROVE RD, SUITE B, CARTERSVILLE, GA 30120-8422
(770) 387-4544
Mailing address
179 PINE GROVE RD, SUITE B, CARTERSVILLE, GA 30120-8422
(770) 387-4544

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034078
GA

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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