Wellspring Family Medicine, PA

NPI #1871745166 in Walnut Cove, North Carolina

Provider Information

NPI Number: 1871745166
Entity Type: Organization
Organization Name: Wellspring Family Medicine, PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 17, 2008
Last Updated: Apr 15, 2009

Practice Location

Address: 701 NORTH MAIN STREET
City: Walnut Cove
State: North Carolina
ZIP Code: 27052-9346
Phone: (336) 508-9565

Authorized Official

Name: MR. STERLING T WOOTEN
Title: CONSULTANT
Phone: (336) 972-3566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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