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Organization
WINGARD PRIMARY CARE, LLC
Active
Organization
WINGARD PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY BURNETT BENNETT (PHYSICIAN)
(770) 692-7575
Entity
Organization
Contact information
Practice address
1325 COMMERCE DR STE 200, PEACHTREE CITY, GA 30269-3582
(770) 692-7575
(770) 692-7570
Mailing address
1325 COMMERCE DR STE 200, SUITE 200, PEACHTREE CITY, GA 30269-3582
(770) 692-7575
(770) 692-7570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
056526
GA
Other
Enumeration date
02/05/2013
Last updated
09/30/2025
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