Provider Demographics
NPI:1013290550
Name:WELLNESS FIRST PC
Entity Type:Organization
Organization Name:WELLNESS FIRST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-335-2777
Mailing Address - Street 1:641 HOSPITAL RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-1155
Mailing Address - Country:US
Mailing Address - Phone:706-335-2777
Mailing Address - Fax:706-335-2788
Practice Address - Street 1:641 HOSPITAL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-1155
Practice Address - Country:US
Practice Address - Phone:706-335-2777
Practice Address - Fax:706-335-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty