Wayne Provision
NPI #1760903066 in Waynesboro, Tennessee
Provider Information
- NPI Number
- 1760903066
- Entity Type
- Organization
- Organization Name
- Wayne Provision
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 28, 2017
- Last Updated
- Sep 16, 2020
Practice Location
- Address
- 950 ANDREW JACKSON DRIVE
- City
- Waynesboro
- State
- Tennessee
- ZIP Code
- 38485
- Phone
- (931) 722-6366
Authorized Official
- Name
- JASON SCOTT CREWS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (931) 722-6366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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