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Organization
WELLMISS COMPANY
Active
Organization
WELLMISS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J JOHNSON (CEO)
(678) 900-5553
Entity
Organization
Contact information
Practice address
691 JOHN WESLEY DOBBS AVE NE STE V-133, ATLANTA, GA 30312-1690
(678) 900-5553
Mailing address
13119 RANGELEY HILLS DR, HAMPTON, GA 30228-6180
(678) 900-5553
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/05/2023
Last updated
05/13/2024
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