PHYLLIS A WIGHT

LAWRENCEVILLE, GA
NPI1275687816
Professional NamePHYLLIS ANN WIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN045468)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN045468 CRNA)
Enumeration Date2007-01-22
Last Update Date2014-04-17
Business Address
Mrs. PHYLLIS A WIGHT CRNA
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-0000
Phone number: 770-277-3056
Mailing Address
Mrs. PHYLLIS A WIGHT CRNA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839