Organization
WAYNE GENERAL HOSPITAL
Active
Parent organization
WAYNE GENERAL HOSPITAL
Other names
WAYNE GENERAL EEG
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE GENERAL HOSPITAL
Authorized official
MRS. KATHY WADDELL (ADMINISTRATOR)
(601) 735-5151
Entity
Organization
Contact information
Practice address
950 MATTHEW DR, WAYNESBORO, MS 39367-2567
(601) 735-5151
(601) 735-7168
Mailing address
950 MATTHEW DR, P O BOX 1249, WAYNESBORO, MS 39367-2567
(601) 735-5151
(601) 735-7168
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
11-288
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013098
—
MS
Enumeration date
04/17/2007
Last updated
05/18/2015
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