| Wellstar Medical Group, Llc | |
|
3825 Medical Park Dr Suite 100 Austell GA 30106-6831 | |
| (770) 948-8680 | |
| (770) 944-1337 |
| Full Name | Wellstar Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3825 Medical Park Dr, Austell, 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 3825 Medical Park Dr Suite 100 Austell GA 30106-6831 Ph: (770) 948-8680 | Wellstar Medical Group, Llc 3825 Medical Park Dr Suite 100 Austell GA 30106-6831 Ph: (770) 948-8680 |
| NPI Number | 1255744595 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255744595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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