| Wellstar East Paulding Primary Care Center | |
|
176 Charles Hardy Pkwy Unit C Hiram GA 30141-1836 | |
| (678) 945-8200 | |
| (678) 945-8209 |
| Full Name | Wellstar East Paulding Primary Care Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 176 Charles Hardy Pkwy, Hiram, Georgia |
| Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4706440095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar East Paulding Primary Care Center 176 Charles Hardy Pkwy Unit C Hiram GA 30141-1836 Ph: (678) 945-8200 | Wellstar East Paulding Primary Care Center 176 Charles Hardy Pkwy Unit C Hiram GA 30141-1836 Ph: (678) 945-8200 |
| NPI Number | 1003112640 |
|---|---|
| Provider Enumeration Date | 01/30/2011 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003112640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Secondary |
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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