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Organization
SATILLA LIFE CARE
Active
Organization
SATILLA LIFE CARE
Active
Other names
SATILLA HEALTH ENTERPRISES, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN RANDOLPH WHEELER RPH (DEPT. HEAD)
(912) 287-2506
Entity
Organization
Contact information
Practice address
2007 TEBEAU ST, WAYCROSS, GA 31501-6358
(912) 285-9153
Mailing address
2007 TEBEAU ST, WAYCROSS, GA 31501-6358
(912) 285-9153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE00764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE00764
STATE LICENSE
GA
Enumeration date
07/12/2005
Last updated
09/06/2023
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