Wellstar Medical Group, LLC

NPI #1558667691 in Hiram, Georgia

Provider Information

NPI Number: 1558667691
Entity Type: Organization
Organization Name: Wellstar Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR MEDICAL GROUP, LLC
Primary Specialty: Pediatrics
Enumeration Date: Feb 8, 2011
Last Updated: Nov 19, 2013

Practice Location

Address: 51 HIRAM DR
Address 2: BUILDING B
City: Hiram
State: Georgia
ZIP Code: 30141-1844
Phone: (678) 945-8300

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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