Wellstar Medical Group, LLC

NPI #1093011603 in Powder Springs, Georgia

Provider Information

NPI Number
1093011603
Entity Type
Organization
Organization Name
Wellstar Medical Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WELLSTAR MEDICAL GROUP, LLC
Primary Specialty
Family Medicine
Enumeration Date
Jan 28, 2011
Last Updated
Nov 19, 2013

Practice Location

Address
4250 BROWNSVILLE RD
State
Georgia
ZIP Code
30127-2559
Phone
(678) 567-8000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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