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Organization
WELLSTAR THORACIC SURGERY ASSOCIATES, LLC
Active
Organization
WELLSTAR THORACIC SURGERY ASSOCIATES, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, LLC
Authorized official
PAM BRACKETT PORTER (OFFICE MANAGER)
(770) 424-9732
Entity
Organization
Contact information
Practice address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Mailing address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
01/14/2009
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