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Wide Range Of Resources, Inc
Clinic/Center in Milledgeville, Georgia
NPI 1043459878

Wide Range Of Resources, Inc is a Clinic/Center based in Milledgeville, GA. Wide Range Of Resources, Inc practices in Milledgeville, GA. The NPI Number for Wide Range Of Resources, Inc is 1043459878 and holds a License No. CSW00658 (Georgia).

The current practice location address for Wide Range Of Resources, Inc is 1776 N Jefferson St Ne, Milledgeville, GA and can be reached out via phone at 478-451-3112 and via fax at 478-451-0626.

Location: 1776 N Jefferson St Ne, Milledgeville, GA, 31061-2229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043459878
Provider Name
Wide Range Of Resources, Inc
Credential
Provider Entity Type
Organization
Address
1776 N Jefferson St Ne, Milledgeville, GA, 31061-2229
Phone Number
478-451-3112
Fax Number
478-451-0626
Provider Enumeration Date
02/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
538773445A 05 GA
GRP7368 01 GA MEDICARE GROUP PIN
139858482A 05 GA
139858482B 05 GA
139858482C 05 GA
institution
Provider Business Practice Location Address Details
Address
1776 N Jefferson St Ne
City
Milledgeville
State
Georgia
Zip
31061-2229
Phone Number
478-451-3112
Fax Number
478-451-0626
person
Provider Business Mailing Address Details
Address
1776 N Jefferson St Ne
City
Milledgeville
State
Georgia
Zip
31061-2229
Phone Number
478-451-3112
Fax Number
478-451-0626
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CSW00658 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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