# WELLSTREET OF GEORGIA PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619624681
- **Authorized official:** KATIE CASSARINO (PRACTICE MANAGER)
- **Authorized official phone:** (678) 414-2824

## Contact information

- **Practice address:** 4475 W VILLAGE PKWY, ELLENWOOD, GA 30294-2869
- **Practice address phone:** (770) 507-7950
- **Practice address fax:** (770) 507-7978
- **Mailing address:** 4475 W VILLAGE PKWY, ELLENWOOD, GA 30294-2869
- **Mailing address phone:** (770) 507-7950
- **Mailing address fax:** (770) 507-7978

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022