Organization
OURHEALTH PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MICHAEL WELLS (PRESIDENT)
(317) 522-0823
Entity
Organization
Contact information
Practice address
10216 PERIMETER PKWY STE C, CHARLOTTE, NC 28216-2462
(866) 434-3255
Mailing address
10 W MARKET ST STE 2900, INDIANAPOLIS, IN 46204-2964
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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