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ADVANCED MEDICAL GROUP, LLC
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
Subdivision Name
Medical Associates Plus @ Belle Terrace
Type
HRSA-Funded Health Center
340B ID
CH0438590
Entity Address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Grant Number
H80CS08751
Participating Start Date
10/14/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
ADVANCED MEDICAL GROUP, LLC
Pharmacy Address
DBA WRENS DRUG
206 E BROAD ST
WRENS, GA 30833-1109
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wesley Wood, CFO
(706) 790-4440 Ext: 100
Contract Pharmacy Representative
ADVANCED MEDICAL GROUP, LLC
Vance Wall, Owner
(678) 689-2388
Signed By Date
7/16/2018
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