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Organization
WELLSTAR ACWORTH FAMILY PRACTICE, LLC
Active
Organization
WELLSTAR ACWORTH FAMILY PRACTICE, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
3950 COBB PKWY NW, SUITE 801, ACWORTH, GA 30101-9532
(770) 074-4665
Mailing address
3950 COBB PKWY NW, SUITE 801, ACWORTH, GA 30101-9532
(770) 074-4665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/14/2008
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