Wittmer, Mark Everett
Wittmer, Mark Everett is an individual health care provider with primary practice located at 104 N Belair Rd Ste 101 , Evans GA 30809-6502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wittmer, Mark Everett can be contacted via phone (706) 922-3669.Contact Information
Primary practice address
104 N Belair Rd Ste 101
Evans GA 30809-6502
Phone: (706) 922-3669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 048862 | Georgia |
Profile Details
| NPI number | 1548398555 |
|---|---|
| LBN Legal business name | Wittmer, Mark Everett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Mar 10th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548398555 | NPPES |
| Georgia | MEDICAID | 00875036B |
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