Organization
WASHINGTON COUNTY INTERNAL MEDICINE, P.C.
Active
Parent organization
WASHINGTON COUNTY INTERNAL MEDICINE, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON COUNTY INTERNAL MEDICINE, P.C.
Authorized official
MRS. SABRINA O WIGGINS (OFFICE MANAGER)
(478) 552-0001
Entity
Organization
Contact information
Practice address
2257 W ELM ST, WRIGHTSVILLE, GA 31096-2056
(478) 864-0032
(478) 864-1220
Mailing address
501 SPARTA RD, SUITE F, SANDERSVILLE, GA 31082-1371
(478) 552-0001
(478) 552-0048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55001039A
—
GA
Enumeration date
10/02/2008
Last updated
10/02/2008
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