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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Family Health - Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANN DIAZ (CREDENTIALING SUPERVISOR)
(717) 851-7134
Entity
Organization
Contact information
Practice address
1135 GEORGETOWN RD, SUITE 201, CHRISTIANA, PA 17509-9543
(717) 466-2462
(717) 798-8433
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
09/17/2019
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