Wide Range Of Resources,Iinc. in Milledgeville - Clinic/center
Wide Range Of Resources,Iinc. - NPI 1861680696
Wide Range Of Resources,Iinc. is a Clinic/center in Milledgeville, Georgia. Wide Range Of Resources,Iinc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Wide Range Of Resources,Iinc. is 1861680696. The last update date is 2007-10-05.
Wide Range Of Resources,Iinc.'s current location address is 1776 N Jefferson St Ne Ste B, Milledgeville, Georgia. You can contact this provider via phone number 4784513112 and fax number 4784510626. The mailing address for Wide Range Of Resources,Iinc. is 1776 N Jefferson St Ne Ste B, Milledgeville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wide Range Of Resources,Iinc. |
|---|---|
| Address | 1776 N Jefferson St Ne Ste B, Milledgeville, Georgia |
| Phone Number | 4784513112 |
| Fax Number | 4784510626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Oliver L. Frezalia |
| Credentials | LCSW |
| Telephone Number | 4784513112 |
NPI Number Detail
| NPI Number | 1861680696 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 1776 N Jefferson St Ne Ste B |
|---|---|
| City | Milledgeville |
| State | Georgia (GA) |
| Post Code | 310612292 |
| Phone Number | 4784513112 |
| Fax Number | 4784510626 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | CSW000658 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139858482A | GA | -- | |
| 139858482B | GA | -- | |
| GRP7368 | GA | GROUP PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wide Range Of Resources,Iinc. by the Centers for Medicare & Medicaid Services?
The Wide Range Of Resources,Iinc. has been issued the NPI (National Provider Identifier) 1861680696 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wide Range Of Resources,Iinc.?
The Wide Range Of Resources,Iinc. is physically situated at 1776 N Jefferson St Ne Ste B, in the city of Milledgeville, state of GA, with the postal code 310612292.
What is Wide Range Of Resources,Iinc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Wide Range Of Resources,Iinc.'s area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did Wide Range Of Resources,Iinc. receive its 1861680696 assignment from the Centers for Medicare & Medicaid Services?
The Wide Range Of Resources,Iinc. was assigned its 1861680696 on 2007-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wide Range Of Resources,Iinc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wide Range Of Resources,Iinc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-05.
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