Organization
WELLSPRING WEIGHT & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M GEORGE JR. DNP, FNP-C (CLINICAL DIRECTOR)
(240) 308-1771
Entity
Organization
Contact information
Practice address
555 W OAK ST STE 1, SHELLEY, ID 83274-1161
(986) 249-7537
Mailing address
555 W OAK ST STE 1, SHELLEY, ID 83274-1161
(986) 249-7537
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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