# WELLSTREET OF GEORGIA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piedmont Urgentcare of Wellstreet
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295249084
- **Authorized official:** BRANDY CARTER (DIRECTOR)
- **Authorized official phone:** (404) 996-0344

## Contact information

- **Practice address:** 2292 PEACHTREE RD NW, ATLANTA, GA 30309-1147
- **Practice address phone:** (404) 996-0120
- **Mailing address:** 3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2017
- **Last updated:** 12/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003135883D | — | GA |