Individual
MARK W. WIGHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1460 HWY 76 W, SUITE D, HIAWASSEE, GA 30546-2146
(706) 896-2872
(706) 896-2873
Mailing address
1460 HWY 76 W, SUITE D, HIAWASSEE, GA 30546-2146
(706) 896-2872
(706) 896-2873
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
06/04/2009
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