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General NPI Number Information
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NPI Number | 1174682546
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Entity Type | Organization
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Legal Business Name | WILLINGWAY, INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 311 JONES MILL RD
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City | STATESBORO
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State | GA
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Zip | 30458-4765
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Country | US
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Telephone | 912-764-6236
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Fax | 912-489-1700
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Provider Business Mailing Address
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Address Line | 311 JONES MILL RD
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City | STATESBORO
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State | GA
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Zip | 30458-4765
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Country | US
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Telephone | 912-764-6236
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Fax | 912-489-1700
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | PAUL GILBERT
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Credential |
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Telephone | 615-716-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 16-257
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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