Organization
WELLINGTON PROVIDER GROUP PC
Active
Parent organization
WELLINGTON PROVIDER GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLINGTON PROVIDER GROUP
Authorized official
BRITTANY DENNIS (BILLING/CREDENTIALING MANAGER)
(919) 912-7181
Entity
Organization
Contact information
Practice address
555 MARRIOTT DR STE 315, NASHVILLE, TN 37214-5088
(859) 439-0400
Mailing address
535 WELLINGTON WAY STE 330, LEXINGTON, KY 40503-1331
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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