Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK W. WIGHTMAN
Active Sole ProprietorMARK W. WIGHTMAN is a Durable Medical Equipment & Medical Supplies healthcare provider located in HIAWASSEE, Georgia. NPI 1811171259 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · HIAWASSEE, GA
Registration Details
- NPI Number
- 1811171259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2007 (18.503691658148 yrs)
- Last Updated
- Jun 4, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
1460 HWY 76 WSUITE DHIAWASSEE, GA, 305462146Browse GA providers · Browse ZIP 30546
- Phone
- 7068962872
- Fax
- 7068962873
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.