# WELLINGTON PROVIDER GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLINGTON PROVIDER GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780308973
- **Legal business name:** WELLINGTON PROVIDER GROUP
- **Authorized official:** BRITTANY DENNIS (BILLING/CREDENTIALING MANAGER)
- **Authorized official phone:** (919) 912-7181

## Contact information

- **Practice address:** 260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
- **Practice address phone:** (859) 439-0400
- **Mailing address:** 535 WELLINGTON WAY STE 3300, LEXINGTON, KY 40503-1385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2022
- **Last updated:** 09/30/2022