Organization
WAYNE GENERAL HOSPITAL
Active
Parent organization
WAYNE GENERAL HOSPITAL
Other names
Waynesboro Family Medicine & Obstetrics-NRH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE GENERAL HOSPITAL
Authorized official
MRS. KATHY WADDELL (ADMINISTRATOR)
(601) 735-7100
Entity
Organization
Contact information
Practice address
951 MATTHEW DR, SUITE A, WAYNESBORO, MS 39367-2565
(601) 735-2401
(601) 735-5205
Mailing address
951 MATTHEW DR, SUITE A, WAYNESBORO, MS 39367-2565
(601) 735-2401
(601) 735-5205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011779
—
MS
Enumeration date
10/18/2010
Last updated
05/20/2015
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