Individual
BELVA-ANNE JERNIGAN WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3750 PALLADIAN VILLAGE DR, SUITE 320, MARIETTA, GA 30066-8200
(678) 670-1289
(678) 348-7137
Mailing address
3750 PALLADIAN VILLAGE DR, SUITE 320, MARIETTA, GA 30066-8200
(678) 670-1289
(678) 348-7137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000922611B
—
GA
Enumeration date
03/23/2006
Last updated
11/04/2013
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