Wellness Medicine

NPI #1417428129 in Hampton, Georgia

Provider Information

NPI Number: 1417428129
Entity Type: Organization
Organization Name: Wellness Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: WELLNESS MEDICINE
Primary Specialty: Family Medicine
Enumeration Date: Dec 7, 2018
Last Updated: Dec 7, 2018

Practice Location

Address: 990 BEAR CREEK BLVD STE G
City: Hampton
State: Georgia
ZIP Code: 30228-1864
Phone: (678) 479-1234

Authorized Official

Name: DR. JELUNDER CLARK, MD
Title: MEDICAL DIRECTOR
Phone: (678) 479-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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