NPI 1760903066
Wayne Provision
Practice location
- Address
- 950 Andrew Jackson Drive, Waynesboro, TN 38485
- Phone
- (931) 722-6366
- Mailing address
- PO Box 873, Waynesboro, TN 38485-0873
Authorised official
- Name
- Jason Scott Crews
- Title
- Executive Director
- Phone
- (931) 722-6366
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1760903066
- Entity type
- Organization
- NPI issued
- 28 Jun 2017
- Record last updated
- 16 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.