Organization
WELLCARE SOLUTIONS LLC
Active
Other names
WSL-Wellcare Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW COPONEN MD (OWNER)
(864) 494-4848
Entity
Organization
Contact information
Practice address
200 WOFFORD RD, TAYLORS, SC 29687-6057
(864) 494-4848
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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