Wolf Creek Ent LLC
NPI #1700091980 in Milledgeville, Georgia
Provider Information
- NPI Number
- 1700091980
- Entity Type
- Organization
- Organization Name
- Wolf Creek Ent LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 11, 2007
- Last Updated
- May 13, 2008
Practice Location
- Address
- 1841 N COLUMBIA ST
- City
- Milledgeville
- State
- Georgia
- ZIP Code
- 31061-2382
- Phone
- (478) 452-3593
Authorized Official
- Name
- ROBIN STEWART FRAZIER
- Title
- BOOKKEEPER
- Phone
- (478) 986-6983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
| Durable Medical Equipment & Medical Supplies |
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