Wellstreet of Georgia PC

NPI #1316690316 in Tucker, Georgia

Provider Information

NPI Number
1316690316
Entity Type
Organization
Organization Name
Wellstreet of Georgia PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 31, 2022
Last Updated
Feb 7, 2022

Practice Location

Address
4650 HUGH HOWELL RD STE 510
City
Tucker
State
Georgia
ZIP Code
30084-5003
Phone
(678) 956-8630

Authorized Official

Name
KATIE CASSARINO
Title
PRACTICE MANAGER
Phone
(678) 414-2824

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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