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Contact Information

WELGEN ONE OF GEORGIA LLC
5415 SUGARLOAF PKWY STE 1108
LAWRENCEVILLE, GA30043-7832
 Phone: 833-935-4361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
 

Counselor

101Y00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Record Administrator

246YR1600X
Indicates primary specialty

NPI Profile & details for WELGEN ONE OF GEORGIA LLC

NPI Number 1023746732
LBN Legal business name WELGEN ONE OF GEORGIA LLC
Authorized official SHANIRA DELACRUZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2022
Last updated 11/08/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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