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NPI Code Detail

MEDICARE: WON DIRECT PRIMARY CARE, LLC

MEDICARE: WON DIRECT PRIMARY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1245186915
Entity Type Code : Organization
Provider Name (Legal Business Name) : WON DIRECT PRIMARY CARE, LLC
Provider Business Mailing Address
First Line : 1605 CHURCH ST STE 610-110
Second Line :
City : DECATUR
State : GA
Zip : 30033-6065
Country : US
Telephone Number : 678-358-9910
Fax Number :
Provider Business Practice Location Address
First Line : 1123 CLAIRMONT RD
Second Line :
City : DECATUR
State : GA
Zip : 30030-1228
Country : US
Telephone Number : 678-359-9910
Fax Number :
Authorized Official
Title or Position : OWNER/ CEO
Name : DR. ASHLEIGH IGBOKWE-HAMILTON
Credential : MD
Telephone Number : 678-359-9910
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “WON DIRECT PRIMARY CARE, LLC ” Practice Location

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