| Walk-in Md | |
|
179 Pine Grove Rd Suite B Cartersville GA 30120-8422 | |
| (770) 387-4544 | |
| Not Available |
| Full Name | Walk-in Md |
|---|---|
| Speciality | Family Medicine |
| Location | 179 Pine Grove Rd, Cartersville, Georgia |
| Authorized Official Name and Position | Jerry Mark Wigley (M.D./OWNER) |
| Authorized Official Contact | 7703874544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walk-in Md 179 Pine Grove Rd Suite B Cartersville GA 30120-8422 Ph: (770) 387-4544 | Walk-in Md 179 Pine Grove Rd Suite B Cartersville GA 30120-8422 Ph: (770) 387-4544 |
| NPI Number | 1558628701 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 2264696418 |
|---|---|
| Medicare Enrollment ID | O20120619000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558628701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 034078 (Georgia) | Primary |
| Provider Name | Jerry M Wigley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699794818 PECOS PAC ID: 9335248210 Enrollment ID: I20070618000192 |
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