Healthcare Provider Details

I. General information

NPI: 1851334015
Provider Name (Legal Business Name): MEDICAL SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 E BROAD ST
WRENS GA
30833-1113
US

IV. Provider business mailing address

305 JONES AVE
WAYNESBORO GA
30830-1510
US

V. Phone/Fax

Practice location:
  • Phone: 706-547-7008
  • Fax: 706-547-6008
Mailing address:
  • Phone: 706-544-5147
  • Fax: 706-544-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. DEBBIE M METZ
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 706-554-5147