Mark W. Wightman

NPI #1811171259 in Hiawassee, Georgia

Provider Information

NPI Number
1811171259
Entity Type
Individual
Name
Mark W. Wightman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 20, 2007
Last Updated
Jun 4, 2009

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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