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Organization

WAYNE GENERAL HOSPITAL

Active
Parent organization
WAYNE GENERAL HOSPITAL
Other names
Wayne General School Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAYNE GENERAL HOSPITAL
Authorized official
DAVID ANDREW PORTER (CEO)
(601) 735-2386
Entity
Organization

Contact information

Practice address
1325 AZALEA DR, WAYNESBORO, MS 39367-2258
(601) 671-2825
Mailing address
PO BOX 1249, WAYNESBORO, MS 39367-1249
(601) 735-5151
(601) 735-7149

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/16/2020
Last updated
03/25/2026
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