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Advanced Medical Group, LLC

Community/Retail Pharmacy in Boston, GA · enumerated 2013 · authorized official Vance Wall, Ceo/President.

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

National Provider Identifier

1679811731

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Medical Group, LLC
Other name <Unavail>
Practice address 118 N Main St, Boston, GA, 31626
Fax (229) 498-1012
Enumeration date Jan 24, 2013
Last updated in NPPES Jan 29, 2013

Taxonomy & classification

333600000X Pharmacy Suppliers · License PHRE009897 (GA) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHRE009897 (GA) Primary

Authorized official

Name Vance Wall
Title Ceo/President

Other identifiers

Identifier Type State Issuer
PHRE009897 Other GA RETAIL PHARMACY PERMIT

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-29. Verify at npiregistry.cms.hhs.gov.
Where is Advanced Medical Group, LLC located?
The practice location on file with NPPES is in Boston, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-29.