Wellstreet of Georgia PC
NPI #1063148286 in Loganville, Georgia
Provider Information
- NPI Number
- 1063148286
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jul 29, 2022
- Last Updated
- Jul 29, 2022
Practice Location
- Address
- 3435 HIGHWAY 81 STE 101
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-9138
- Phone
- (678) 882-7162
Authorized Official
- Name
- KATIE MONS
- Title
- PRACTICE MANAGER
- Phone
- (678) 414-2824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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