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Organization
WELLSPRING MEDICAL GROUP, LLC
Active
Organization
WELLSPRING MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE IFEANYICHUKWU OZIM (OWNER)
(770) 316-0102
Entity
Organization
Contact information
Practice address
184 JEFFERSON PKWY # B, NEWNAN, GA 30263-5822
(404) 759-9888
Mailing address
184 JEFFERSON PKWY # B, NEWNAN, GA 30263-5822
(404) 759-9888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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