| NPI | 1922539725 |
|---|---|
| Doing Business As | THE WELL MAN |
| Entity Type | Organization |
| Authorized Contact | TOURUS RONNARD JERELDS CEO 678-394-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: GA 17028051) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |