| Wellstreet Of Georgia Pc | |
|
1155 Concord Rd Se Ste 200 Smyrna GA 30080-4207 | |
| (770) 809-3036 | |
| (404) 662-2399 |
| Full Name | Wellstreet Of Georgia Pc |
|---|---|
| Speciality | Non-pharmacy Dispensing Site |
| Location | 1155 Concord Rd Se Ste 200, Smyrna, Georgia |
| Authorized Official Name and Position | Tonia Rana Davis (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7708093036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstreet Of Georgia Pc 3350 Riverwood Pkwy Se Ste 1850 Atlanta GA 30339-3300 Ph: (770) 809-3036 | Wellstreet Of Georgia Pc 1155 Concord Rd Se Ste 200 Smyrna GA 30080-4207 Ph: (770) 809-3036 |
| NPI Number | 1891265773 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891265773 | NPI | - | NPPES |
| 003137211A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
St Paul Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 S Cobb Dr Se, Suite 205, Smyrna, GA 30080 Phone: 404-731-2931 | |
Mpm Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 Herodian Way Se Ste 210, Smyrna, GA 30080 Phone: 770-933-9951 | |
Medical Consultants Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 Concord Rd Se, Smyrna, GA 30080 Phone: 770-333-8889 Fax: 770-333-8948 | |
Allcare Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2220 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-970-0024 | |
Mariposa Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 767 Concord Rd Se, Smyrna, GA 30082 Phone: 678-305-1700 | |
Clinica De La Salud Hispana Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Windy Hill Rd Se, Suite E, Smyrna, GA 30080 Phone: 678-888-0173 Fax: 678-888-0177 | |
Genesis Healthcare Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3200 Highlands Parkway, Suite 250, Smyrna, GA 30082 Phone: 770-434-1662 Fax: 770-434-1304 |