# WAYNE GENERAL HOSPITAL

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

## Provider details

- **NPI number:** 1467174615
- **Legal business name:** WAYNE GENERAL HOSPITAL
- **Authorized official:** RACHEL EVANS (CLM)
- **Authorized official phone:** (601) 671-2825

## Contact information

- **Practice address:** 940 MATTHEW DR STE 8, WAYNESBORO, MS 39367-2534
- **Practice address phone:** (601) 735-7246
- **Practice address fax:** (601) 735-7248
- **Mailing address:** 940 MATTHEW DR STE 8, WAYNESBORO, MS 39367-2534
- **Mailing address phone:** (601) 735-7246
- **Mailing address fax:** (601) 735-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 09/14/2022
