Organization
ENSLEY PRIMARY CARE, INC.
Active
Other names
Greensboro Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY D ENSLEY MD (PHYSICIAN)
(706) 453-0046
Entity
Organization
Contact information
Practice address
1190 SILOAM RD, GREENSBORO, GA 30642-2840
(706) 453-0046
Mailing address
1330 PARKS MILL DR, GREENSBORO, GA 30642-3241
(706) 453-0046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00801765C
—
GA
Enumeration date
07/31/2008
Last updated
01/29/2010
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