Organization · Type 2 NPI

Wyld Lillies Crown

Durable Medical Equipment & Medical Supplies · Hephzibah, GA

NPI number 1649965286 Active

Practice location

2763 Tobacco Rd Ste E
Hephzibah, GA 30815-7051

Mailing address

2714 Deen Ave
Augusta, GA 30906-3232

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1649965286

Wyld Lillies Crown's National Provider Identifier is 1649965286, issued on Apr 10, 2023. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Hephzibah, GA. The record was last updated on Apr 10, 2023.