Wellstreet of Georgia PC
NPI #1861980955 in Loganville, Georgia
Provider Information
- NPI Number
- 1861980955
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 25, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 4763 ATLANTA HWY STE 420
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-6788
- Phone
- (470) 395-6793
Authorized Official
- Name
- SAMANTHA ALVORD
- Title
- PRACTICE MANAGER
- Phone
- (770) 521-6690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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