Wellstar Shallowford Medical Center, LLC

NPI #1144276270 in Marietta, Georgia

Provider Information

NPI Number: 1144276270
Entity Type: Organization
Organization Name: Wellstar Shallowford Medical Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty: Internal Medicine
Enumeration Date: May 26, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 3921 SHALLOWFORD RD
City: Marietta
State: Georgia
ZIP Code: 30062-5013
Phone: (770) 649-9100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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