# WELLSTAR WOODLAWN COMMONS FAMILY PRACTICE, LLC

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

## Provider details

- **NPI number:** 1518914399
- **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:** 1010 JOHNSON FERRY RD, MARIETTA, GA 30068-2108
- **Practice address phone:** (770) 973-7302
- **Practice address fax:** (770) 971-6692
- **Mailing address:** 1010 JOHNSON FERRY RD, MARIETTA, GA 30068-2108
- **Mailing address phone:** (770) 973-7302
- **Mailing address fax:** (770) 971-6692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 07/14/2008