Wellstar North Cobb Pediatrics, LLC

NPI #1174565311 in Kennesaw, Georgia

Provider Information

NPI Number: 1174565311
Entity Type: Organization
Organization Name: Wellstar North Cobb Pediatrics, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty: Pediatrics
Enumeration Date: Jun 12, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 205 HAWKINS STORE RD
Address 2: SUITE B-1
City: Kennesaw
State: Georgia
ZIP Code: 30144
Phone: (770) 928-0862

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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