Wellstar Medical Group, LLC

NPI #1780924043 in Marietta, Georgia

Provider Information

NPI Number: 1780924043
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 25, 2013
Last Updated: May 26, 2015

Practice Location

Address: 3939 ROSWELL RD
Address 2: SUITE 300
City: Marietta
State: Georgia
ZIP Code: 30062-6251
Phone: (770) 509-1234

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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