OrganizationActive
Advanced Medical Resources of Wayne County, LLC
NPI 1396140497 · Internal Medicine Physician · Jesup, GA
Provider details
- NPI number
- 1396140497
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lake Daly, Administrator(912) 657-0500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
865 S 1st St
Jesup, GA 31545-0210
Phone: (912) 657-0500
Approximate (ZIP-level) locationGet directions
Mailing address
340 Hodgson Ct Ste 4
Savannah, GA 31406-1523
Registry dates
- Enumerated
- 2014-10-31
- Last updated
- 2020-02-19
- Certified
- 2020-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.