Wellcare Family Medicine PC
NPI #1558444885 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1558444885
- Entity Type
- Organization
- Organization Name
- Wellcare Family Medicine PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9757 WESTPOINT DR
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46256-3341
- Phone
- (317) 577-2779
Authorized Official
- Name
- DIRENDIA SHACKELFORD
- Title
- MANAGED CARE SPECIALIST
- Phone
- (800) 654-0889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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