# OURHEALTH PHYSICIAN GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932739000
- **Authorized official:** JEFFREY MICHAEL WELLS (PRESIDENT)
- **Authorized official phone:** (317) 522-0823

## Contact information

- **Practice address:** 10216 PERIMETER PKWY STE C, CHARLOTTE, NC 28216-2462
- **Practice address phone:** (866) 434-3255
- **Mailing address:** 10 W MARKET ST STE 2900, INDIANAPOLIS, IN 46204-2964
- **Mailing address phone:** (866) 434-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2020
- **Last updated:** 01/17/2020