WC PHYSICIAN GROUP LLC NPI 1174024665

NPI Information

NPI: 1174024665
Provider Name: WC PHYSICIAN GROUP LLC

Other Name: C/O HOSPITAL AUTHORITY OF WASHINGTON COUNTY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
610 SPARTA RD
SANDERSVILLE, GA
ZIP 31082
Phone: (478) 240-2000
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WC PHYSICIAN GROUP LLC is a rural health clinic center in Sandersville, GA. WC PHYSICIAN GROUP LLC NPI is 1174024665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is C/o Hospital Authority Of Washington County.

The provider's business location address is:

610 SPARTA RD
SANDERSVILLE, GA
ZIP 31082
Phone: (478) 240-2000

The provider's authorized official is Carl Bredthauer .
The authorized official title is Cfo and has the following contact phone number (478) 240-2102.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 6/27/2023.

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	Taxonomy Specialization	Primary
1	208600000X	Surgery		No
2	208M00000X	Hospitalist		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	208000000X	Pediatrics		No
6	261QR1300X	Clinic/Center	Rural Health	Yes

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: 4/28/2024

NPI Synchronization or Removal

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