Organization · Type 2 NPI

Lake Oconee Wellness Associates LLC

Adult Medicine Physician · Watkinsville, GA

NPI number 1073005138 Active

Practice location

1741 Hog Mountain Rd # 200
Watkinsville, GA 30677-1947

Mailing address

1171 Laurel Pointe
Watkinsville, GA 30677-7559

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

About NPI 1073005138

Lake Oconee Wellness Associates LLC's National Provider Identifier is 1073005138, issued on Jun 5, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Watkinsville, GA. The record was last updated on Feb 14, 2024.