Wellstreet of Georgia PC

NPI #1184111338 in Alpharetta, Georgia

Provider Information

NPI Number
1184111338
Entity Type
Organization
Organization Name
Wellstreet of Georgia PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 13, 2018
Last Updated
Jun 16, 2018

Practice Location

Address
10945 STATE BRIDGE RD STE 901
State
Georgia
ZIP Code
30022-8164
Phone
(404) 996-0194

Authorized Official

Name
SAMANTHA ALVORD
Title
PRACTICE MANAGER
Phone
(770) 521-6690

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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