Wellstar Medical Group, LLC

NPI #1508162173 in Austell, Georgia

Provider Information

NPI Number: 1508162173
Entity Type: Organization
Organization Name: Wellstar Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR MEDICAL GROUP, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 31, 2011
Last Updated: Nov 19, 2013

Practice Location

Address: 1680 HOSPITAL SOUTH DR
City: Austell
State: Georgia
ZIP Code: 30106-8110
Phone: (678) 945-2100

Authorized Official

Name: MRS. NICOLE ASHE
Title: EXECUTIVE DIRECTOR OF FINANCE
Phone: (470) 644-0095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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