# WELLSTREET OF GEORGIA PC

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

## Provider details

- **NPI number:** 1487389144
- **Authorized official:** KATIE MONS (PRACTICE MANAGER)
- **Authorized official phone:** (678) 414-2824

## Contact information

- **Practice address:** 485 HIGHWAY 29 N, ATHENS, GA 30601-5583
- **Practice address phone:** (706) 438-4080
- **Mailing address:** 485 HIGHWAY 29 N, ATHENS, GA 30601-5583
- **Mailing address phone:** (706) 438-4080

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 07/18/2022