Wellstreet of Georgia PC
NPI #1720965700 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1720965700
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 20, 2025
- Last Updated
- Aug 20, 2025
Practice Location
- Address
- 3366 HIGHWAY 42 S STE 100
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3014
- Phone
- (470) 759-2085
Authorized Official
- Name
- KATIE MONS
- Title
- DISTRICT MANAGER
- Phone
- (770) 502-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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