| NPI | 1467677476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA G WILDER Nurse Practitioner 478-765-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: GA R030659) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |