Healthcare Provider Details

I. General information

NPI: 1013833672
Provider Name (Legal Business Name): WECARE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HOGUE AVE
ROCKMART GA
30153-1921
US

IV. Provider business mailing address

701 HOGUE AVE
ROCKMART GA
30153-1921
US

V. Phone/Fax

Practice location:
  • Phone: 404-606-1059
  • Fax: 770-242-6260
Mailing address:
  • Phone: 404-606-1059
  • Fax: 770-242-6260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BONE
Title or Position: CREDENTIALING/BILLING ADMIN
Credential:
Phone: 706-406-1101