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Organization
WELLSPRING
Active
Organization
WELLSPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE RANDALL WILLIAMS MD (OWNER)
(352) 377-8770
Entity
Organization
Contact information
Practice address
5618 NW 43RD ST, GAINESVILLE, FL 32653-3406
(352) 377-8770
(352) 371-3623
Mailing address
5618 NW 43RD ST, GAINESVILLE, FL 32653-3406
(352) 377-8770
(352) 371-3623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ME0037298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59 3213731
PSYCHIATRY
FL
Enumeration date
10/13/2014
Last updated
10/13/2014
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