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Organization

EPIC WELLCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBYSINA LOUISE JAMES MD (MEDICAL DIRECTOR)
(404) 855-3339
Entity
Organization

Contact information

Practice address
1989 N WILLIAMSBURG DR, DECATUR, GA 30033-5998
(404) 855-3339
(404) 255-2170
Mailing address
4036 STEPHENS MILL RUN NE, ATLANTA, GA 30342-3882
(404) 855-3339
(404) 255-2170

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029684
GA

Other

Enumeration date
05/07/2018
Last updated
05/07/2018
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