Wellstar Pediatric Professionals, LLC

NPI #1992752927 in Marietta, Georgia

Provider Information

NPI Number: 1992752927
Entity Type: Organization
Organization Name: Wellstar Pediatric Professionals, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WELLSTAR HEALTH SYSTEM, INC.
Primary Specialty: Pediatrics
Enumeration Date: May 27, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 1880 W OAK PKWY
Address 2: SUITE 101
City: Marietta
State: Georgia
ZIP Code: 30062-2272
Phone: (770) 795-8783

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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