Organization
HEALTHSTAT ON-SITE CLINIC/MILLIKEN KINGSLEY
Active
Other names
Milliken - Kingsley Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WELLS MD (PRESIDENT)
(317) 985-2111
Entity
Organization
Contact information
Practice address
2598 WASHINGTON RD, THOMSON, GA 30824-6651
(706) 880-3120
Mailing address
PO BOX 1433, PORTSMOUTH, NH 03802-1433
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
04/22/2026
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