Lake Oconee Wellness Associates LLC
Family Medicine, Adult Medicine in Watkinsville, GA. Organization (NPI-2).
NPI number1073005138
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1073005138
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Oconee Wellness Associates LLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2018
- Certification date
- Aug 11, 2023
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
Practice location
1741 Hog Mountain Rd # 200Watkinsville, GA 30677-1947
Phone 706-705-6152
Mailing address
1171 Laurel PointeWatkinsville, GA 30677-7559
Phone 706-614-0828
Authorized official
Don Wright
Member/Manager
7066140828
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