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 |