| Wellstar Medical Group, Llc | |
|
3755 Sixes Rd Suite 202 Canton GA 30114-7842 | |
| (770) 720-1880 | |
| (770) 704-7162 |
| Full Name | Wellstar Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3755 Sixes Rd, Canton, 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 Medical Group, Llc 3755 Sixes Rd Suite 202 Canton GA 30114-7842 Ph: (770) 720-1880 | Wellstar Medical Group, Llc 3755 Sixes Rd Suite 202 Canton GA 30114-7842 Ph: (770) 720-1880 |
| NPI Number | 1346593316 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346593316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
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