Organization · Type 2 NPI
Wellspring Medical Group, LLC
Primary Care Nurse Practitioner · Newnan, GA
NPI number
1477460707
Active
Practice location
184 Jefferson Pkwy # B
Newnan, GA 30263-5822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1477460707
Wellspring Medical Group, LLC's National Provider Identifier is 1477460707, issued on Aug 24, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Newnan, GA. The record was last updated on Aug 24, 2026.