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Organization

NEIGHBORHOOD IMPROVEMENT PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WESLEY WOOD (CFO)
(706) 790-4440
Entity
Organization

Contact information

Practice address
811 13TH ST, STE 10, AUGUSTA, GA 30901-2700
(706) 790-4440
(706) 790-4393
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
(706) 790-4393

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
032689
GA
207RI0200X
Infectious Disease Physician
032689
GA
261QI0500X
Infusion Therapy Clinic/Center
Primary
032689
GA
363AM0700X
Medical Physician Assistant
032689
GA

Other

Enumeration date
03/04/2016
Last updated
03/04/2016
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