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Wildwood Sanitarium Incorporated

Community/Retail Pharmacy in Wildwood, GA · enumerated 2013 · authorized official Shelly Miller, Director of Pharmacy.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093058265

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Registry record

Entity type Organization (Type 2)
Legal business name Wildwood Sanitarium Incorporated
Other name <Unavail>
Practice address 435 Life Style Ln, Wildwood, GA, 30757
Fax (706) 820-1474
Enumeration date Apr 5, 2013
Last updated in NPPES Nov 27, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHRE009672 (GA) Primary

Authorized official

Name Shelly Miller
Title Director of Pharmacy

Other identifiers

Identifier Type State Issuer
2139673 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Wildwood Sanitarium Incorporated?
Wildwood Sanitarium Incorporated is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-27.