Organization
WINGS OF FEATHERS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA R WARE M.D. (PHYSICIAN)
(912) 267-1922
Entity
Organization
Contact information
Practice address
3226 HAMPTON AVE, BRUNSWICK, GA 31520-4225
(912) 267-1922
(912) 267-1437
Mailing address
PO BOX 2663, BRUNSWICK, GA 31521-2663
(912) 267-1922
(912) 267-1437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
044861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C GRP 7031
MEDICARE GROUP
GA
Enumeration date
10/03/2007
Last updated
10/03/2007
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