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Organization
WELLSTAR ATLANTA MEDICAL CENTER, INC
Active
Organization
WELLSTAR ATLANTA MEDICAL CENTER, INC
Active
Other names
WellStar Atlanta Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J BUDZINSKI (EVP)
(470) 644-0012
Entity
Organization
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4000
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
(770) 792-5272
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
060-551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000789A
—
GA
05
—
000001713A
—
GA
01
—
000445
HUMANA
—
01
—
003419
BCBS OF GEORGIA
GA
05
—
03521208
—
MS
05
—
1100115
—
NC
01
—
110115B000000
SECTION 1011
GA
01
—
13313
COVENTRY HEALTH CARE GEOR
GA
05
—
1707945
—
LA
05
—
1990A
—
SC
01
—
573351850
AETNA US HEALTHCARE (NATI
—
01
—
582329008001
BCBS ILLINOIS
IL
01
—
58909
BCBS OF ARIZONA
AZ
01
—
918757200
MEDICAID OF FLORIDA
FL
05
—
ATL0115N
—
AL
Enumeration date
07/04/2006
Last updated
10/31/2024
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