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Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Pediatric Hospital Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
677 CHURCH ST NE, SUITE 100 P, MARIETTA, GA 30060-1101
(470) 793-8585
(470) 793-1970
Mailing address
677 CHURCH ST NE, SUITE 100 P, MARIETTA, GA 30060-1101
(470) 793-8585
(470) 793-1970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
GA
208M00000X
Hospitalist Physician
Primary
—
GA
Other
Enumeration date
03/12/2015
Last updated
03/16/2015
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