Organization
OURHEALTH PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY WELLS (PRESIDENT)
(866) 434-3255
Entity
Organization
Contact information
Practice address
901 E 4TH ST, CHARLOTTE, NC 28204-2617
(866) 434-3255
Mailing address
4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
10/15/2018
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