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Organization
WELLSTAR SMYRNA PRIMARY CARE CENTER, LLC
Active
Organization
WELLSTAR SMYRNA PRIMARY CARE CENTER, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
562 CONCORD ROAD, SMYRNA, GA 30082
(770) 384-9900
(770) 384-9912
Mailing address
562 CONCORD ROAD, SMYRNA, GA 30082
(770) 384-9900
(770) 384-9912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
07/14/2008
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