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Organization
WELLSPRING GE INC
Active
Organization
WELLSPRING GE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GREEN III MD (OWNER)
(302) 401-9193
Entity
Organization
Contact information
Practice address
3886 PRINCETON LAKES WAY SW STE 120, ATLANTA, GA 30331-5511
(302) 401-9193
Mailing address
3886 PRINCETON LAKES WAY SW STE 120, ATLANTA, GA 30331-5511
(302) 401-9193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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