# WELLSTAR COBB REHABILITATION MEDICINE, LLC

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

## Provider details

- **NPI number:** 1467492033
- **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:** 1680 HOSPITAL DRIVE, AUSTELL, GA 30106
- **Practice address phone:** (678) 945-2071
- **Practice address fax:** (770) 941-3870
- **Mailing address:** 1680 HOSPITAL DRIVE, AUSTELL, GA 30106
- **Mailing address phone:** (678) 945-2071
- **Mailing address fax:** (770) 941-3870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 07/14/2008