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Organization
WELLINGTON PROVIDER GROUP PC
Active
Organization
WELLINGTON PROVIDER GROUP PC
Active
Parent organization
WELLINGTON PROVIDER GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLINGTON PROVIDER GROUP
Authorized official
BRITTANY DENNIS (BILLING/CREDENTIALING MANAGER)
(919) 912-7181
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(859) 439-0400
Mailing address
535 WELLINGTON WAY STE 3300, LEXINGTON, KY 40503-1385
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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