| NPI | 1588256754 |
|---|---|
| Doing Business As | WENDELL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY LONG Credentialing/Enrollment Specialist 984-333-2741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-01-22 |