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General NPI Number Information
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NPI Number | 1013290550
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Entity Type | Organization
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Legal Business Name | WELLNESS FIRST PC
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 641 HOSPITAL RD SUITE 4
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City | COMMERCE
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State | GA
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Zip | 30529-1155
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Country | US
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Telephone | 706-335-2777
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Fax | 706-335-2788
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Provider Business Mailing Address
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Address Line | 641 HOSPITAL RD SUITE 4
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City | COMMERCE
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State | GA
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Zip | 30529-1155
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Country | US
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Telephone | 706-335-2777
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Fax | 706-335-2788
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. VERONICA MICHELLE PATTERSON
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Credential | MD
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Telephone | 706-335-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 043107
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License Number State | GA
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