Wellstreet of Georgia PC
NPI #1891265773 in Smyrna, Georgia
Provider Information
- NPI Number
- 1891265773
- Entity Type
- Organization
- Organization Name
- Wellstreet of Georgia PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 4, 2018
- Last Updated
- Nov 13, 2019
Practice Location
Authorized Official
- Name
- TONIA RANA DAVIS
- Title
- CREDENTIALING COORDINATOR
- Phone
- (770) 809-3036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Non-Pharmacy Dispensing Site |
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