# WELLSTAR HEALTH SYSTEM, LLC

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

## Provider details

- **NPI number:** 1134501422
- **Authorized official:** MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
- **Authorized official phone:** (470) 644-0095

## Contact information

- **Practice address:** 793 SAWYER RD, MARIETTA, GA 30062-2222
- **Practice address phone:** (470) 644-0173
- **Practice address fax:** (470) 644-0173
- **Mailing address:** 793 SAWYER RD, MARIETTA, GA 30062-2222
- **Mailing address phone:** (470) 644-0173
- **Mailing address fax:** (470) 644-0173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | GA | Yes |

## Other

- **Enumeration date:** 06/23/2015
- **Last updated:** 02/24/2020