# WELLSTAR HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013330364
- **Authorized official:** RAXIT R PATEL M.D. (PHYSICIAN)
- **Authorized official phone:** (470) 956-8364

## Contact information

- **Practice address:** 1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
- **Practice address phone:** (470) 956-8364
- **Mailing address:** 1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
- **Mailing address phone:** (470) 956-8364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 64951 | GA | Yes |
| 282N00000X | General Acute Care Hospital | 64951 | GA | — |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 02/24/2020
