Organization
FAMILY WELLCARE CENTER
Active
Parent organization
BEVERLEY ATOWNSEND
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEVERLEY ATOWNSEND
Authorized official
DR. BEVERLEY ANN TOWNSEND M.D. (OWNER/PHYSICIAN)
(706) 653-6080
Entity
Organization
Contact information
Practice address
4215 WOODRUFF RD, COLUMBUS, GA 31904-6889
(706) 653-6080
(706) 653-6052
Mailing address
4215 WOODRUFF RD, COLUMBUS, GA 31904-6889
(706) 653-6080
(706) 653-6052
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
028091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00396563I
—
GA
01
—
305491
WELLCARE
GA
Enumeration date
01/30/2008
Last updated
01/30/2008
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