| NPI | 1558963496 |
|---|---|
| Doing Business As | WAYNE GENERAL SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW PORTER CEO 601-735-2386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2026-03-25 |