Wellstar Palliative Medicine, Llc

NPI 1063680049 - Internal Medicine - 207RH0002X

NPI Details
NPI 1063680049
Enumeration Date 02/13/2008
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARLENE CHARLENE
Position DIRECTOR
Phone (770) 732-6770
Fax (770) 732-6710
Practice Location
4040 HOSPITAL WEST DR
AUSTELL GA, 30106-8117, US
Phone (770) 732-6770
Fax (770) 732-6710
Business Location
4040 HOSPITAL WEST DR
AUSTELL GA, 30106-8117, US
Phone (770) 732-6770
Fax (770) 732-6710
Toxanomy
Taxonomy Code 207RH0002X
License State
License Number
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According to our database, Wellstar Palliative Medicine, Llc NPI is 1063680049, taxonomy code is 207RH0002X Wellstar Palliative Medicine, Llc physically located at 4040 Hospital West Dr, Austell GA, 30106-8117. NPI Number 1033115704 has the healthcare provider type.

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1063680049 NPI number is provided on an as is basis without warranty of any kind. 1063680049 is maintained by the National Plan & Provider Enumeration System. The contents of Wellstar Palliative Medicine, Llc are for informational purposes only.