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Organization
WELLSPRING FAMILY PRACTICE, PA
Active
Organization
WELLSPRING FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ALAN MAHAR MD (OWNER)
(828) 586-7705
Entity
Organization
Contact information
Practice address
81 MEDICAL PARK LOOP, SUITE 202, SYLVA, NC 28779-5291
(828) 586-7705
(828) 586-7714
Mailing address
PO BOX 149, SYLVA, NC 28779-0149
(828) 586-7705
(828) 586-7714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200001199
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019U1
BCBS-GROUP
NC
05
—
5950037
—
NC
Enumeration date
02/12/2007
Last updated
08/07/2013
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