Wellstar Medical Group, Llc

NPI 1083917587 - Internal Medicine - 207R00000X

NPI Details
NPI 1083917587
Enumeration Date 12/06/2010
Last Updated 11/18/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name NICOLE NICOLE
Position EXECUTIVE VP OF FINANCE
Phone (770) 941-8100
Fax (770) 948-0771
Practice Location
3825 MEDICAL PARK DR
SUITE 201
AUSTELL GA, 30106-6831, US
Phone (770) 941-8100
Fax (770) 948-0771
Business Location
3825 MEDICAL PARK DR
SUITE 201
AUSTELL GA, 30106-6831, US
Phone (770) 941-8100
Fax (770) 948-0771
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1083917587 NPI Number
 

According to our database, Wellstar Medical Group, Llc NPI is 1083917587, taxonomy code is 207R00000X Wellstar Medical Group, Llc physically located at 3825 Medical Park Dr, Austell GA, 30106-6831. NPI Number 1033115704 has the healthcare provider type.

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1083917587 NPI number is provided on an as is basis without warranty of any kind. 1083917587 is maintained by the National Plan & Provider Enumeration System. The contents of Wellstar Medical Group, Llc are for informational purposes only.