Wyld Lillies Crown
Wyld Lillies Crown is a Durable Medical Equipment & Medical Supplies in Hephzibah, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2763 Tobacco Rd Ste EHephzibah, GA 30815-7051
Phone: (706) 726-5406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1649965286 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Miriam Jennings — Owner · (706) 726-5406 |
| NPI enumerated | April 10, 2023 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | April 10, 2023 |
| Mailing address | 2714 Deen Ave, Augusta, GA 30906-3232 |
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