Wellstar Pediatric & Family Wellness Center, Llc

NPI 1073742482 - Psychologist - 103TC0700X

NPI Details
NPI 1073742482
Enumeration Date 07/07/2009
Last Updated 07/07/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NICOLE NICOLE
Position ASST; VP OF FINANCE
Phone (770) 634-2349
Fax (770) 819-0597
Practice Location
1810 MULKEY RD
SUITE 201
AUSTELL GA, 30106-1151, US
Phone (770) 634-2349
Fax (770) 819-0597
Business Location
1810 MULKEY RD
SUITE 201
AUSTELL GA, 30106-1151, US
Phone (770) 634-2349
Fax (770) 819-0597
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Wellstar Pediatric & Family Wellness Center, Llc NPI is 1073742482, taxonomy code is 103TC0700X Wellstar Pediatric & Family Wellness Center, Llc physically located at 1810 Mulkey Rd, Austell GA, 30106-1151. NPI Number 1033115704 has the healthcare provider type.

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1073742482 NPI number is provided on an as is basis without warranty of any kind. 1073742482 is maintained by the National Plan & Provider Enumeration System. The contents of Wellstar Pediatric & Family Wellness Center, Llc are for informational purposes only.