Provider Demographics
NPI:1285402990
Name:WELCOME HEALTH EVANS
Entity type:Organization
Organization Name:WELCOME HEALTH EVANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAMBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-504-9321
Mailing Address - Street 1:418 TOWN PARK BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3492
Mailing Address - Country:US
Mailing Address - Phone:706-736-5848
Mailing Address - Fax:706-504-9322
Practice Address - Street 1:418 TOWN PARK BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3492
Practice Address - Country:US
Practice Address - Phone:706-736-5848
Practice Address - Fax:706-504-9322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELCOME HEALTH NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty