Wyld Lillies Crown

NPI #1649965286 in Hephzibah, Georgia

Provider Information

NPI Number
1649965286
Entity Type
Organization
Organization Name
Wyld Lillies Crown
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 10, 2023
Last Updated
Apr 10, 2023

Practice Location

Address
2763 TOBACCO RD STE E
State
Georgia
ZIP Code
30815-7051
Phone
(706) 726-5406

Authorized Official

Name
MIRIAM JENNINGS
Title
OWNER
Phone
(706) 726-5406

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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