Wayne General Hospital
Organization Active NPI Family Medicine Physician · Waynesboro, MS
NPI 1861702383 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1861702383
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WAYNE GENERAL HOSPITAL
- Practice address
- 951 Matthew Dr
Suite a
Waynesboro, MS 39367-2565 - Phone
- (601) 735-2401
- Fax
- (601) 735-5205
- NPI assigned
- Oct 18, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- WAYNE GENERAL HOSPITAL
Authorized official
- Name
- Mrs. Kathy Waddell
- Title
- Administrator
- Phone
- (601) 735-7100
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Arthur E Medical Clinic
- Part of
- Arthur E Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
951 Matthew Dr
Suite a
Waynesboro, MS 39367-2565
Mailing address
951 Matthew Dr
Suite a
Waynesboro, MS 39367-2565
Phone (601) 735-2401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09011779 | Medicaid | MS |
Other names
- Waynesboro Family Medicine & Obstetrics-NRH
Other providers in Waynesboro, MS
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospital
- Wayne General Hospsital
- Samuel White
- Brian K Williams
All providers in Waynesboro, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.