Wellstar North Douglas Ob/gyn, LLC

NPI #1255387361 in Douglasville, Georgia

Provider Information

NPI Number
1255387361
Entity Type
Organization
Organization Name
Wellstar North Douglas Ob/gyn, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
May 26, 2006
Last Updated
Jul 14, 2008

Practice Location

Address
6095 PROFESSIONAL PKWY
Address 2
SUITE A 210
State
Georgia
ZIP Code
30134-5607
Phone
(770) 949-4188

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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