Wellons, Eric Daniel
Wellons, Eric Daniel is an individual health care provider with primary practice located at 775 Poplar Rd Suite 260, Newnan GA 30265-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wellons, Eric Daniel can be contacted via phone (404) 524-0095.Contact Information
Primary practice address
775 Poplar Rd Suite 260
Newnan GA 30265-8300
Phone: (404) 524-0095
Fax: (404) 658-9558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 049120 | Georgia |
Profile Details
| NPI number | 1790761799 |
|---|---|
| LBN Legal business name | Wellons, Eric Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Sep 26th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790761799 | NPPES |
| Georgia | MEDICAID | 00944347A |
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