Wellstar Medical Group, LLC
NPI #1194078170 in Douglasville, Georgia
Provider Information
- NPI Number
- 1194078170
- Entity Type
- Organization
- Organization Name
- Wellstar Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WELLSTAR MEDICAL GROUP, LLC
- Primary Specialty
- Internal Medicine - Infectious Disease
- Enumeration Date
- Oct 16, 2012
- Last Updated
- May 27, 2015
Practice Location
- Address
- 6043 PRESTLEY MILL RD
- Address 2
- SUITE C
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-2280
- Phone
- (770) 920-3076
Authorized Official
- Name
- MRS. NICOLE ASHE
- Title
- EXECUTIVE DIRECTOR OF FINANCE
- Phone
- (470) 644-0095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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