# WELLSTREET OF GEORGIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609797182
- **Authorized official:** KATIE MONS (DISTRICT MANAGER)
- **Authorized official phone:** (770) 502-2121

## Contact information

- **Practice address:** 5875 E LAKE PKWY STE 200, MCDONOUGH, GA 30253-4806
- **Practice address phone:** (678) 536-2400
- **Practice address fax:** (678) 536-2404
- **Mailing address:** 5875 E LAKE PKWY STE 200, MCDONOUGH, GA 30253-4806
- **Mailing address phone:** (678) 536-2400
- **Mailing address fax:** (678) 536-2404

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2026
- **Last updated:** 07/22/2026