Provider Demographics
NPI:1508310210
Name:WECARE - TWU EMPLOYEE FAMILY CLINIC
Entity Type:Organization
Organization Name:WECARE - TWU EMPLOYEE FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-312-6333
Mailing Address - Street 1:107 INDUSTRIAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-4435
Mailing Address - Country:US
Mailing Address - Phone:912-576-5359
Mailing Address - Fax:912-576-5349
Practice Address - Street 1:107 INDUSTRIAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-4435
Practice Address - Country:US
Practice Address - Phone:912-576-5359
Practice Address - Fax:912-576-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care