Organization
WELLBE SENIOR MEDICAL GROUP OF GEORGIA, P. C.
Active
Other names
WellBe Senior Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYAD HOUSHAN MD (CHIEF MEDICAL OFFICER)
(312) 776-2415
Entity
Organization
Contact information
Practice address
5 CONCOURSE PKWY STE 3100, SANDY SPRINGS, GA 30328-7117
(855) 492-7642
Mailing address
20 W KINZIE ST STE 17, CHICAGO, IL 60654-6393
(312) 776-2421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/23/2020
Last updated
09/26/2024
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