Wellstreet of Georgia PC
NPI #1366023764 in Lagrange, Georgia
Provider Information
- NPI Number
- 1366023764
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WELLSTREET OF GEORGIA PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 16, 2021
- Last Updated
- Apr 16, 2021
Practice Location
Authorized Official
- Name
- KATIE CASSARINO
- Title
- PRACTICE MANAGER
- Phone
- (470) 400-3449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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