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Organization
WILDWOOD SANITARIUM INCORPORATED
Active
Organization
WILDWOOD SANITARIUM INCORPORATED
Active
Other names
Wildwood Lifestyle Center and Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MILLER (DIRECTOR OF PHARMACY)
(706) 419-0023
Entity
Organization
Contact information
Practice address
435 LIFE STYLE LN, WILDWOOD, GA 30757-4174
(706) 419-0023
(706) 820-1474
Mailing address
435 LIFE STYLE LN, WILDWOOD, GA 30757-4174
(706) 419-0023
(706) 820-1474
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009672
GA
Other
Enumeration date
04/05/2013
Last updated
11/27/2013
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