WELLINGTON PROVIDER GROUP PC

RIDGELAND, MS
NPI1699487694
Entity TypeOrganization
Authorized ContactMARIELA BRAVO
Credentialing Team Lead
859-518-8117
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2022-12-21
Last Update Date2022-12-21
Business Address
WELLINGTON PROVIDER GROUP PC
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157-2079
Phone number: 859-518-8817
Mailing Address
WELLINGTON PROVIDER GROUP PC
535 WELLINGTON WAY STE 330
LEXINGTON, KY 40503-1331
Phone number: 859-518-8817
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