Wellstar Medical Group, LLC

NPI #1821466509 in Austell, Georgia

Provider Information

NPI Number: 1821466509
Entity Type: Organization
Organization Name: Wellstar Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR MEDICAL GROUP, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 1605 MULKEY RD
Address 2: SUITE 220
City: Austell
State: Georgia
ZIP Code: 30106-1127
Phone: (770) 948-2353

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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