Wellstar Paulding Surgical Associates, LLC

NPI #1104871201 in Hiram, Georgia

Provider Information

NPI Number: 1104871201
Entity Type: Organization
Organization Name: Wellstar Paulding Surgical Associates, LLC
Primary Specialty: Surgery
Enumeration Date: May 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 176 MARIETTA HWY
Address 2: BUILDING A
City: Hiram
State: Georgia
ZIP Code: 30141-1836
Phone: (770) 445-4915

Authorized Official

Name: NICOLE ASHE
Title: EXECUTIVE DIRECTOR OF FINANCE
Phone: (770) 792-5261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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