Healthcare Provider Details

I. General information

NPI: 1346145463
Provider Name (Legal Business Name): NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 GORDON ST
WASHINGTON GA
30673-1601
US

IV. Provider business mailing address

2467 GOLDEN CAMP RD
AUGUSTA GA
30906-5515
US

V. Phone/Fax

Practice location:
  • Phone: 706-434-1353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: WESLEY S WOOD
Title or Position: CFO
Credential:
Phone: 706-790-4440