# WAYNE GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAYNE GENERAL HOSPITAL
- **Other names:** Wayne General Pain Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063878676
- **Legal business name:** WAYNE GENERAL HOSPITAL
- **Authorized official:** MRS. KATHY WADDELL (CEO)
- **Authorized official phone:** (601) 735-7100

## Contact information

- **Practice address:** 940 MATTHEW DR STE 8, WAYNESBORO, MS 39367-2534
- **Practice address phone:** (601) 735-7101
- **Practice address fax:** (601) 735-7181
- **Mailing address:** PO BOX 1249, 940 MATTHEW DRIVE, SUITE 8, WAYNESBORO, MS 39367-1249
- **Mailing address phone:** (601) 735-7101
- **Mailing address fax:** (601) 735-7181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 02/29/2016