Wellstreet of Georgia PC

NPI #1619624681 in Ellenwood, Georgia

Provider Information

NPI Number
1619624681
Entity Type
Organization
Organization Name
Wellstreet of Georgia PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 9, 2022
Last Updated
Mar 9, 2022

Practice Location

Address
4475 W VILLAGE PKWY
State
Georgia
ZIP Code
30294-2869
Phone
(770) 507-7950

Authorized Official

Name
KATIE CASSARINO
Title
PRACTICE MANAGER
Phone
(678) 414-2824

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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