# WELLSTREET OF GEORGIA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piedmont Urgentcare by Wellstreet
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538647441
- **Authorized official:** KEESHA D. PINACLE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (770) 809-3036

## Contact information

- **Practice address:** 5239 HIGHWAY 278 NE, COVINGTON, GA 30014-2671
- **Practice address phone:** (678) 660-5106
- **Practice address fax:** (678) 660-5107
- **Mailing address:** 3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300
- **Mailing address phone:** (140) 466-2239

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 11/06/2018