# B WELL FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1942047782
- **Authorized official:** KELLI BEARD NP (CEO)
- **Authorized official phone:** (912) 807-9355

## Contact information

- **Practice address:** 3343 US HIGHWAY 84 STE 103, BLACKSHEAR, GA 31516-2158
- **Practice address phone:** (912) 807-9355
- **Practice address fax:** (912) 514-1222
- **Mailing address:** 3343 US HIGHWAY 84 STE 103, BLACKSHEAR, GA 31516-2158
- **Mailing address phone:** (912) 807-9355
- **Mailing address fax:** (912) 514-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2024
- **Last updated:** 01/02/2025