Wellstar East Paulding Primary Care Center, LLC

NPI #1992750087 in Hiram, Georgia

Provider Information

NPI Number: 1992750087
Entity Type: Organization
Organization Name: Wellstar East Paulding Primary Care Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 176 MARIETTA HWY
Address 2: BUILDING A
City: Hiram
State: Georgia
ZIP Code: 30141-1836
Phone: (678) 945-8200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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