Provider Demographics
NPI:1902523210
Name:WILLING HELPERS MEDICAL, INC
Entity Type:Organization
Organization Name:WILLING HELPERS MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:678-625-8317
Mailing Address - Street 1:4186 MILL ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2561
Mailing Address - Country:US
Mailing Address - Phone:678-625-8317
Mailing Address - Fax:678-487-5824
Practice Address - Street 1:4186 MILL ST NE STE A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2561
Practice Address - Country:US
Practice Address - Phone:678-625-8317
Practice Address - Fax:678-487-5824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service