# BELLAIRE WOUND CARE GEORGIA PC

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

## Provider details

- **NPI number:** 1396697991
- **Authorized official:** OWEN B ELLINGTON (DIRECTOR)
- **Authorized official phone:** (470) 422-7029

## Contact information

- **Practice address:** 12600 DEERFIELD PKWY STE 100, ALPHARETTA, GA 30004-6130
- **Practice address phone:** (470) 422-7029
- **Practice address fax:** (855) 574-0808
- **Mailing address:** 12600 DEERFIELD PKWY STE 100, ALPHARETTA, GA 30004-6130
- **Mailing address phone:** (470) 422-7029
- **Mailing address fax:** (855) 574-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2026
- **Last updated:** 02/18/2026