Roger Gary Wellborn, MD

NPI #1417051152 in Carrollton, Georgia

Provider Information

NPI Number: 1417051152
Entity Type: Individual
Name: Roger Gary Wellborn, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 12, 2006
Last Updated: Feb 2, 2012

Practice Location

Address: 624 DIXIE STREET
City: Carrollton
State: Georgia
ZIP Code: 30117-3817
Phone: (770) 832-9593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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