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Organization
WELLNESS MEDICINE
Active
Organization
WELLNESS MEDICINE
Active
Parent organization
WELLNESS MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLNESS MEDICINE
Authorized official
DR. JELUNDER CLARK MD (MEDICAL DIRECTOR)
(678) 479-1234
Entity
Organization
Contact information
Practice address
990 BEAR CREEK BLVD STE G, HAMPTON, GA 30228-1864
(678) 479-1234
(678) 479-5678
Mailing address
990 BEAR CREEK BLVD STE G, HAMPTON, GA 30228-1864
(678) 479-1234
(678) 479-5678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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