# HEALTHSTAT ON-SITE CLINIC/MILLIKEN KINGSLEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Milliken - Kingsley Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043645914
- **Authorized official:** JEFF WELLS MD (PRESIDENT)
- **Authorized official phone:** (317) 985-2111

## Contact information

- **Practice address:** 2598 WASHINGTON RD, THOMSON, GA 30824-6651
- **Practice address phone:** (706) 880-3120
- **Mailing address:** PO BOX 1433, PORTSMOUTH, NH 03802-1433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 04/22/2026