WELGEN ONE OF GEORGIA LLC

LAWRENCEVILLE, GA
NPI1023746732
Entity TypeOrganization
Authorized ContactSHANIRA DELACRUZ
President
201-233-2155
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies101Y00000X Counselor
207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology
246YR1600X Spec/Tech, Health Info, Registered Record Administrator
363L00000X Nurse Practitioner
Enumeration Date2022-08-10
Last Update Date2022-11-08
Business Address
WELGEN ONE OF GEORGIA LLC
5415 SUGARLOAF PKWY STE 1108
LAWRENCEVILLE, GA 30043-7832
Phone number: 833-935-4361
Mailing Address
WELGEN ONE OF GEORGIA LLC
629 S 4TH ST STE 301
LOUISVILLE, KY 40202-2461
Phone number: 201-233-2155