MR. Irving David Wight, PA-C

NPI #1760471221 in Matthews, North Carolina

Provider Information

NPI Number: 1760471221
Entity Type: Individual
Name: MR. Irving David Wight, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 18, 2005
Last Updated: Dec 9, 2009

Practice Location

Address: 1401 MATTHEWS TOWNSHIP PKWY
Address 2: SUITE 101
City: Matthews
State: North Carolina
ZIP Code: 28105-5402
Phone: (704) 295-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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