| Wellness Medicine | |
|
990 Bear Creek Blvd Suite G Hampton GA 30228-1864 | |
| (678) 479-1234 | |
| (678) 479-5678 |
| Full Name | Wellness Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 990 Bear Creek Blvd, Hampton, Georgia |
| Authorized Official Name and Position | Jelunder Clark (MEDICAL DIRECTOR, FAMILY PRACTICE) |
| Authorized Official Contact | 6784791234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Medicine Po Box 224 Lovejoy GA 30250-0224 Ph: (678) 479-1234 | Wellness Medicine 990 Bear Creek Blvd Suite G Hampton GA 30228-1864 Ph: (678) 479-1234 |
| NPI Number | 1992826705 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992826705 | NPI | - | NPPES |
| 11D1014694 | Other | GA | CLIA |
| 250161583A | Medicaid | GA | |
| 042544 | Other | GA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042544 (Georgia) | Primary |
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Wellness Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Bear Creek Blvd Ste G, Hampton, GA 30228 Phone: 678-479-1234 Fax: 678-479-5678 | |
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