Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wildwood Sanitarium Incorporated

Organization Community/Retail Pharmacy · NPI 1093058265

Wildwood Sanitarium Incorporated is a Community/Retail Pharmacy in Wildwood, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013

Practice location Address checks out

435 Life Style Ln
Wildwood, GA 30757-4174
Phone: (706) 419-0023
Fax: (706) 820-1474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009672 (GA)

Record details

NPI number1093058265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Miller — Director Of Pharmacy · (706) 419-0023
Other names Wildwood Lifestyle Center And Hospital
NPI enumeratedApril 5, 2013
Last updated in NPPESNovember 27, 2013
Mailing address435 Life Style Ln, Wildwood, GA 30757-4174