Well Health Llc | |
115 Seward St Ste B Thomasville GA 31792-5528 | |
(229) 216-8641 | |
Not Available |
Full Name | Well Health Llc |
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Speciality | Clinic/Center |
Location | 115 Seward St Ste B, Thomasville, Georgia |
Authorized Official Name and Position | Matthew Graham (OWNER/MANAGING MEMBER) |
Authorized Official Contact | 9124709034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Well Health Llc 115 Seward St Ste B Thomasville GA 31792-5528 Ph: () - | Well Health Llc 115 Seward St Ste B Thomasville GA 31792-5528 Ph: (229) 216-8641 |
NPI Number | 1417665175 |
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Provider Enumeration Date | 11/11/2022 |
Last Update Date | 11/11/2022 |
Medicare PECOS PAC ID | 0446629307 |
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Medicare Enrollment ID | O20221215001551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417665175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Matthew Adam Graham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316385784 PECOS PAC ID: 9032408174 Enrollment ID: I20160829000963 |
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