Wellstreet of Georgia PC
NPI #1487126637 in Smyrna, Georgia
Provider Information
- NPI Number
- 1487126637
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 28, 2018
- Last Updated
- Dec 28, 2018
Practice Location
Authorized Official
- Name
- KEESHA D. PINACLE
- Title
- CREDENTIALING MANAGER
- Phone
- (770) 809-3036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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