Wellspring Medical Center

NPI 1538434311 - Clinic/Center - 261QM2500X

NPI Details
NPI 1538434311
Enumeration Date 03/13/2012
Last Updated 03/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BUNMI A BUNMI
Position OFFICE MANAGER
Phone (678) 289-8338
Fax (770) 603-0515
Practice Location
2759 MOUNT ZION PKWY
SUITE 3
JONESBORO GA, 30236-2568, US
Phone (678) 289-8338
Fax (770) 603-0515
Business Location
2759 MOUNT ZION PKWY
SUITE 3
JONESBORO GA, 30236-2568, US
Phone (678) 289-8338
Fax (770) 603-0515
Toxanomy
Taxonomy Code 261QM2500X
License State Georgia
License Number 43534
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According to our database, Wellspring Medical Center NPI is 1538434311, taxonomy code is 261QM2500X and license number is 43534, license state is located at Georgia. Wellspring Medical Center physically located at 2759 Mount Zion Pkwy, Jonesboro GA, 30236-2568. NPI Number 1033115704 has the healthcare provider type.

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1538434311 NPI number is provided on an as is basis without warranty of any kind. 1538434311 is maintained by the National Plan & Provider Enumeration System. The contents of Wellspring Medical Center are for informational purposes only.