Individual
MARK PATRICK WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26950
SC
207L00000X
Anesthesiology Physician
27166
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269505
—
SC
Enumeration date
05/03/2007
Last updated
06/06/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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