Wellstar

NPI #1275834616 in Marietta, Georgia

Provider Information

NPI Number: 1275834616
Entity Type: Organization
Organization Name: Wellstar
Primary Specialty: Audiologist
Enumeration Date: Nov 16, 2010
Last Updated: Nov 16, 2010

Practice Location

Address: 320 KENNESTONE HOSPITAL BLVD
Address 2: SUITE 107
City: Marietta
State: Georgia
ZIP Code: 30060-1161
Phone: (770) 793-7417

Authorized Official

Name: REBECCA ANN RATLIFF, AU.D.
Title: AUDIOLOGIST
Phone: (770) 793-7414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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