Wellstar Medical Group, LLC

NPI #1043619489 in Marietta, Georgia

Provider Information

NPI Number: 1043619489
Entity Type: Organization
Organization Name: Wellstar Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR MEDICAL GROUP, LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 21, 2014
Last Updated: Jun 8, 2015

Practice Location

Address: 3747 ROSWELL RD NE
Address 2: SUITE 311
City: Marietta
State: Georgia
ZIP Code: 30062-6227
Phone: (770) 422-2326

Authorized Official

Name: MRS. NICOLE ASHE
Title: EXECUTIVE DIRECTOR OF FINANCE
Phone: (470) 644-0095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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