Wellstreet of Georgia PC

NPI #1740924489 in Canton, Georgia

Provider Information

NPI Number
1740924489
Entity Type
Organization
Organization Name
Wellstreet of Georgia PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 27, 2022
Last Updated
Apr 27, 2022

Practice Location

Address
2026 CUMMING HWY STE 100
City
Canton
State
Georgia
ZIP Code
30115-8011
Phone
(470) 541-2255

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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