| Family Wellcare Center | |
|
4215 Woodruff Rd Columbus GA 31904-6889 | |
| (706) 653-6080 | |
| (706) 653-6052 |
| Full Name | Family Wellcare Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4215 Woodruff Rd, Columbus, Georgia |
| Authorized Official Name and Position | Beverley Ann Townsend (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7066536080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellcare Center 4215 Woodruff Rd Columbus GA 31904-6889 Ph: (706) 653-6080 | Family Wellcare Center 4215 Woodruff Rd Columbus GA 31904-6889 Ph: (706) 653-6080 |
| NPI Number | 1043497274 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043497274 | NPI | - | NPPES |
| 305491 | Other | GA | WELLCARE |
| 00396563I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 028091 (Georgia) | Primary |
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