Organization
WAYNE GENERAL HOSPITAL
Active
Other names
Arthur & Wood Medical Clinic A Service of Wayne General Hospital, Arthur E Wood Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY D. WADDELL (CEO)
(601) 735-7101
Entity
Organization
Contact information
Practice address
950 MATTHEW DR STE D, WAYNESBORO, MS 39367-2567
(601) 671-2795
(601) 735-4227
Mailing address
951 MATTHEW DR STE D, WAYNESBORO, MS 39367-2566
(601) 671-2795
(601) 735-4227
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08176015
—
MS
05
—
540008509
—
AL
01
—
C02818
PART B MEDICARE
MS
Enumeration date
06/10/2006
Last updated
08/11/2022
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