| NPI | 1861864456 | 
|---|---|
| Doing Business As | VERSAMED MEDICAL WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | COURTNEY A MOTE Owner 706-778-0077  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008431)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 003705)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN202988)  | |
| Enumeration Date | 2015-10-22 | 
| Last Update Date | 2015-10-22 |