Provider Demographics
NPI:1720788821
Name:UCARE WECARE FAMILY CLINIC
Entity Type:Organization
Organization Name:UCARE WECARE FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:678-378-5880
Mailing Address - Street 1:2005 HIGHWAY 16 W
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-3861
Mailing Address - Country:US
Mailing Address - Phone:678-378-5880
Mailing Address - Fax:
Practice Address - Street 1:2005 HIGHWAY 16 W STE 101
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-3861
Practice Address - Country:US
Practice Address - Phone:678-378-5880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty