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NPI Code Detail

MEDICARE: MR. WESLEY GARLAND

MEDICARE: MR. WESLEY GARLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1053669416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WESLEY GARLAND
Provider Business Mailing Address
First Line : 1550 COLLEGE ST
Second Line : BOX 28
City : MACON
State : GA
Zip : 31207-1500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1550 COLLEGE ST
Second Line : BOX 28
City : MACON
State : GA
Zip : 31207-1500
Country : US
Telephone Number : 229-343-2249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2012
Last Update Date : 08/16/2012

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Directions to “ MR. WESLEY GARLAND ” Practice Location

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