Organization
WILDWOOD SANITARIUM INCORPORATED
Active
Other names
Wildwood Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAUGHAN HARVEY SPARROW (HOSPITAL ADMINISTRATOR)
(706) 820-1493
Entity
Organization
Contact information
Practice address
435 LIFESTYLE LANE, WILDWOOD, GA 30757-0129
(706) 820-1493
Mailing address
P.O BOX 129, WILDWOOD, GA 30757-0129
(706) 820-1493
(706) 820-7459
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
41198
GA
Other
Enumeration date
01/12/2007
Last updated
08/12/2010
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