Wellstar Cobb Medical Group, LLC

NPI #1356396022 in Austell, Georgia

Provider Information

NPI Number: 1356396022
Entity Type: Organization
Organization Name: Wellstar Cobb Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty: Internal Medicine
Enumeration Date: May 23, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 1790 MULKEY RD
Address 2: SUITE 5A
City: Austell
State: Georgia
ZIP Code: 30106-1122
Phone: (770) 792-1055

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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