Provider Demographics
NPI:1528722402
Name:WELLSPECT INC
Entity type:Organization
Organization Name:WELLSPECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL COMMERCIAL LEADER US
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-545-2575
Mailing Address - Street 1:1235 FRIENDSHIP RD STE 205
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-5626
Mailing Address - Country:US
Mailing Address - Phone:706-239-4074
Mailing Address - Fax:
Practice Address - Street 1:13320B BALLANTYNE CORPORATE PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3607
Practice Address - Country:US
Practice Address - Phone:877-456-3742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies