Wellstreet of Georgia PC
NPI #1245998079 in Douglasville, Georgia
Provider Information
- NPI Number
- 1245998079
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Nov 29, 2021
- Last Updated
- Nov 29, 2021
Practice Location
- Address
- 2976 CHAPEL HILL RD
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-1733
- Phone
- (912) 225-5325
Authorized Official
- Name
- KATHARYN CASSARINO
- Title
- PRACTICE MANAGER
- Phone
- (678) 414-2824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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