Mark W. Wightman

NPI #1205096617 in Hiawassee, Georgia

Provider Information

NPI Number
1205096617
Entity Type
Organization
Organization Name
Mark W. Wightman
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 10, 2008
Last Updated
Jun 10, 2008

Practice Location

Address
1460 HIGHWAY 76 W
Address 2
SUITE A
State
Georgia
ZIP Code
30546-2146
Phone
(706) 896-2872

Authorized Official

Name
MR. MARK W. WIGHTMAN
Title
OWNER
Phone
(706) 896-2872

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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