Organization
FUSION DIRECT MEDICAL AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YUDELKY BENTLEY FNP (OWNER)
(678) 458-4299
Entity
Organization
Contact information
Practice address
233 CLARKDELL DR, STOCKBRIDGE, GA 30281-5956
(678) 458-4299
Mailing address
PO BOX 551, ELLENWOOD, GA 30294-0551
(678) 458-4299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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