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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER GARY WELLBORN, MD

Active

ROGER GARY WELLBORN, MD is a Family Medicine healthcare provider located in CARROLLTON, Georgia. NPI 1417051152 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CARROLLTON, GA

Registration Details

NPI Number
1417051152
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2006 (19.921168949959 yrs)
Last Updated
Feb 2, 2012
License
21441 (GA)

Practice Information

Address
624 DIXIE STREET
CARROLLTON, GA, 301173817
Browse GA providers · Browse ZIP 30117
Phone
7708329593
Fax
7708320440
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CARROLLTON, GA

Name Credential NPI
DR. JOSEPH JELLICORSE M.D. 1932190535
DR. HERMOGENES PAGSISIHAN M.D. 1184615759
DR. KENNETH L BOSS MD 1104891472
MR. JEFFERY K SEWELL MD 1598705071
MICHAEL ANTHONY POSS MD 1003834557
GREGORY BENJAMIN FLOYD M.D. 1326066895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.