# WELLSTAR NORTH DOUGLAS OB/GYN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLSTAR HEALTH SYSTEM, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255387361
- **Legal business name:** WELLSTAR HEALTH SYSTEM, INC.
- **Authorized official:** NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
- **Authorized official phone:** (770) 792-5261

## Contact information

- **Practice address:** 6095 PROFESSIONAL PKWY, SUITE A 210, DOUGLASVILLE, GA 30134-5607
- **Practice address phone:** (770) 949-4188
- **Practice address fax:** (770) 949-1614
- **Mailing address:** 6095 PROFESSIONAL PKWY, SUITE A 210, DOUGLASVILLE, GA 30134-5607
- **Mailing address phone:** (770) 949-4188
- **Mailing address fax:** (770) 949-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 07/14/2008