| NPI | 1952627119 |
|---|---|
| Doing Business As | WELLSPRING SPECIALTY CLINIC |
| Doing Business As | WELLSPRING MADISON FAMILY PRACTICE |
| Doing Business As | WELLSPRING HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | KHALID ATHAR Sole Owner 540-321-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2018-06-16 |