Wellstar East Paulding Pediatric Center, LLC

NPI #1841246337 in Hiram, Georgia

Provider Information

NPI Number
1841246337
Entity Type
Organization
Organization Name
Wellstar East Paulding Pediatric Center, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty
Pediatrics
Enumeration Date
May 26, 2006
Last Updated
Jul 14, 2008

Practice Location

Address
51 HIRAM DR
Address 2
BUILDING B
City
Hiram
State
Georgia
ZIP Code
30141-1844
Phone
(678) 945-8300

Authorized Official

Name
NICOLE ASHE
Title
EXECUTIVE DIRECTOR OF FINANCE
Phone
(770) 792-5261

Specialties & Taxonomy Codes

Specialty
Pediatrics

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