THE WIREGRASS MEDICAL & SURGICAL GROUP INC NPI 1083753404

NPI Information

NPI: 1083753404
Provider Name: THE WIREGRASS MEDICAL & SURGICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
804 N WILEY AVE
DONALSONVILLE, GA
ZIP 39845
Phone: (229) 524-2706
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THE WIREGRASS MEDICAL & SURGICAL GROUP INC is a family medicine in Donalsonville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THE WIREGRASS MEDICAL & SURGICAL GROUP INC NPI is 1083753404. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 N WILEY AVE
DONALSONVILLE, GA
ZIP 39845-120
Phone: (229) 524-2706
Fax: (229) 524-1272

The provider's authorized official is April Clanton Massey .
The authorized official title is Practice Administrator and has the following contact phone number (229) 524-2706.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	033591	GEORGIA	No
2	208600000X	Surgery	9288	GEORGIA	No
3	208600000X	Surgery	019644	GEORGIA	No
4	207Q00000X	Family Medicine	051586	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	GEORGIA	TIN
2	GRP8001	OTHER	GEORGIA	MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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