# WELLSPRING WEIGHT & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043056260
- **Authorized official:** DR. THOMAS M GEORGE JR. DNP, FNP-C (CLINICAL DIRECTOR)
- **Authorized official phone:** (240) 308-1771

## Contact information

- **Practice address:** 555 W OAK ST STE 1, SHELLEY, ID 83274-1161
- **Practice address phone:** (986) 249-7537
- **Mailing address:** 555 W OAK ST STE 1, SHELLEY, ID 83274-1161
- **Mailing address phone:** (986) 249-7537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2024
- **Last updated:** 07/08/2024