Wellstreet of Georgia PC
NPI #1134900616 in Willoughby, Ohio
Provider Information
- NPI Number
- 1134900616
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Oct 18, 2023
Practice Location
- Address
- 36001 EUCLID AVE UNIT 5
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4643
- Phone
- (440) 484-2160
Authorized Official
- Name
- KATIE MONS
- Title
- DISTRICT MANAGER
- Phone
- (770) 502-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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