| Wellstar Medical Group, Llc | |
|
6043 Prestley Mill Rd Suite C Douglasville GA 30134-2280 | |
| (770) 920-3076 | |
| (770) 949-8969 |
| Full Name | Wellstar Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 6043 Prestley Mill Rd, Douglasville, 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 6043 Prestley Mill Rd Suite C Douglasville GA 30134-2280 Ph: (770) 920-3076 | Wellstar Medical Group, Llc 6043 Prestley Mill Rd Suite C Douglasville GA 30134-2280 Ph: (770) 920-3076 |
| NPI Number | 1194078170 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194078170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Georgia) | Primary |
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