Wide Range Of Resources, Inc

NPI 1043459878 - Clinic/Center - 261Q00000X

NPI Details
NPI 1043459878
Enumeration Date 02/18/2009
Last Updated 02/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name FREZALIA L. FREZALIA
Position CLINICAL DIRECTOR
Phone (478) 451-3112
Fax (478) 451-0626
Practice Location
1776 N JEFFERSON ST NE
SUITE B
MILLEDGEVILLE GA, 31061-2229, US
Phone (478) 451-3112
Fax (478) 451-0626
Business Location
1776 N JEFFERSON ST NE
SUITE B
MILLEDGEVILLE GA, 31061-2229, US
Phone (478) 451-3112
Fax (478) 451-0626
Toxanomy
Taxonomy Code 261Q00000X
License State Georgia
License Number CSW00658
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According to our database, Wide Range Of Resources, Inc NPI is 1043459878, taxonomy code is 261Q00000X and license number is CSW00658, license state is located at Georgia. Wide Range Of Resources, Inc physically located at 1776 N Jefferson St Ne, Milledgeville GA, 31061-2229. NPI Number 1033115704 has the healthcare provider type.

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1043459878 NPI number is provided on an as is basis without warranty of any kind. 1043459878 is maintained by the National Plan & Provider Enumeration System. The contents of Wide Range Of Resources, Inc are for informational purposes only.