LAURA MARIE WYATT (NPI# 1487252227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487252227 |
| Entity Type | Individual |
| Full Name | LAURA MARIE WYATT |
| Practice Address |
1606 Memorial Dr Waycross GA 31501-1949 |
| Practice Telephone | 9122872277 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH024798 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639297302 | Laura Wyatt | Physician Assistant | 500 E 51st St Ofc 7021, Provident Hospital of Cook County, Chicago, IL 60615-2400 | 2007-03-27 |
| 1326073966 | Laura W Wyatt | Psychologist | 3820 Merton Dr, Suite 205, Raleigh, NC 27609-6609 | 2006-07-12 |
| 1013358308 | Laura Brichler Wyatt | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2013-07-15 |
| 1952606089 | Laura E. Wyatt | Developmental Therapist | 1604 Spring Hill Rd, 3rd Fl, Suite 310, Vienna, VA 22182-7510 | 2011-01-20 |
| 1497773469 | Laura Wyatt | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2006-07-18 |
| Street Address |
1606 MEMORIAL DR |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902830748 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2006-07-10 |
| 1285232090 | Charles Cannon | Pharmacist | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2020-10-14 |
| 1093336521 | Jason Ted Wade | Pharmacist | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2020-05-06 |
| 1225669419 | Matthew Reed | Pharmacist | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891199758 | Hannah Hartley | Pharmacist | 701 Riverside Ave, Suite B, Waycross, GA 31501-5352 | 2014-10-21 |
| 1548552672 | Mark S Faulk | Pharmacist | 701 Riverside Ave Ste B, C/o Rite Aid 1974, Waycross, GA 31501-5335 | 2011-05-09 |
| 1023275799 | Jamie Lynn Adams | Pharmacist | 1803 Knight Ave, Waycross, GA 31501-8018 | 2008-05-20 |
| 1831369545 | Yolanda L Rivers | Pharmacist | 1303 Tebeau St, Waycross, GA 31501-5318 | 2008-03-10 |
| 1396701603 | Larry L. Batten | Pharmacist | 2001 Pioneer St, Waycross, GA 31501-6249 | 2006-04-25 |
| 1558352377 | Lewis Grant Clark IIi | Pharmacist | 815 Saint Marys Dr, Waycross, GA 31501-3234 | 2005-11-01 |
| 1609477116 | Charity Kendall Holt | Pharmacist | 2425 Memorial Dr, Waycross, GA 31503-6337 | 2020-11-03 |
| 1306446232 | Arnold Lamar Long Jr. | Pharmacist | 2425 Memorial Dr, Waycross, GA 31503-6337 | 2020-10-29 |
| 1598365744 | Martha Lou Molina | Pharmacist | 2425 Memorial Dr, Waycross, GA 31503-6337 | 2020-10-27 |
| 1285232090 | Charles Cannon | Pharmacist | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2020-10-14 |
| Find all providers in WAYCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.