| NPI | 1477919603 |
|---|---|
| Doing Business As | FHC WAYNESBORO SITE |
| Entity Type | Organization |
| Authorized Contact | RASHAD N ALI Executive Director 601-425-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-07-21 |