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Organization
WILDWOOD SANITARIUM INCORPORATED
Active
Organization
WILDWOOD SANITARIUM INCORPORATED
Active
Other names
Wildwood Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAUGHAN HARVEY SPARROW (HOSPITAL ADMINISTRATOR)
(706) 820-1493
Entity
Organization
Contact information
Practice address
435 LIFESTYLE LANE, WILDWOOD, GA 30757-0129
(706) 820-1493
Mailing address
P.O BOX 129, WILDWOOD, GA 30757-0129
(706) 820-1493
(706) 820-7459
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
41198
GA
Other
Enumeration date
01/12/2007
Last updated
08/12/2010
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