Wellstar Medical Group, LLC

NPI #1073819124 in Austell, Georgia

Provider Information

NPI Number: 1073819124
Entity Type: Organization
Organization Name: Wellstar Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR MEDICAL GROUP, LLC
Primary Specialty: Pediatrics
Enumeration Date: Feb 8, 2011
Last Updated: Nov 18, 2013

Practice Location

Address: 1810 MULKEY RD
Address 2: SUITE 201
City: Austell
State: Georgia
ZIP Code: 30106-1151
Phone: (770) 819-9262

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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