NPI 1023746732

Welgen One of Georgia LLC

Organisation General Practice Physician Lawrenceville, GA

Practice location

Address: 5415 Sugarloaf Pkwy STE 1108, Lawrenceville, GA 30043-7832
Phone: (833) 935-4361
Mailing address: 629 S 4th St STE 301, Louisville, KY 40202-2461

Authorised official

Name: Shanira Delacruz
Title: President
Phone: (201) 233-2155

Registered specialties (5)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Georgia →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Georgia →

Clinical & Laboratory Immunology (Allergy & Immunology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X

Other Allergy & Immunology providers in Georgia →

Registered Record Administrator

Technologists, Technicians & Other Technical Service Providers Taxonomy 246YR1600X

Other Specialist/Technologist, Health Information providers in Georgia →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1023746732
Entity type: Organization
NPI issued: 10 Aug 2022
Record last updated: 8 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.