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Organization
WELLSTREET OF GEORGIA PC
Active
Organization
WELLSTREET OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BROCK (CREDENTIALING SUPERVISOR)
(678) 770-9005
Entity
Organization
Contact information
Practice address
880 BUFORD HWY, CUMMING, GA 30041
(770) 292-9982
Mailing address
1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265-6416
(470) 851-3353
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
04/16/2025
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