# WELLSTREET OF GEORGIA PC

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

## Provider details

- **NPI number:** 1194571026
- **Authorized official:** KATIE MONS (DISTRICT MANAGER)
- **Authorized official phone:** (770) 502-2121

## Contact information

- **Practice address:** 850 PAVILLION PKWY, MONROE, GA 30656-5012
- **Practice address phone:** (678) 395-0010
- **Practice address fax:** (678) 395-0020
- **Mailing address:** 850 PAVILLION PKWY, MONROE, GA 30656-5012
- **Mailing address phone:** (678) 395-0010
- **Mailing address fax:** (678) 395-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 04/30/2024