Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GILL WILSON JR. (CFO)
(919) 424-5080
Entity
Organization
Contact information
Practice address
421 COVINGTON AVE, THOMASVILLE, GA 31792-9700
(855) 239-3467
(919) 431-9224
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-4316
(919) 431-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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