# WELLSTAR MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLSTAR MEDICAL GROUP, LLC
- **Other names:** WellStar Hand Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326333907
- **Legal business name:** WELLSTAR MEDICAL GROUP, LLC
- **Authorized official:** MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
- **Authorized official phone:** (470) 644-0095

## Contact information

- **Practice address:** 4550 COBB PARKWAY NW, SUITE 309-B, ACWORTH, GA 30101-4180
- **Practice address phone:** (770) 917-6795
- **Practice address fax:** (770) 529-9077
- **Mailing address:** 4550 COBB PARKWAY NW, SUITE 309-B, ACWORTH, GA 30101-4180
- **Mailing address phone:** (770) 917-6795
- **Mailing address fax:** (770) 529-9077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | GA | Yes |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 11/19/2013