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Organization
WELLSTAR ATLANTA MEDICAL CENTER, INC
Active
Organization
WELLSTAR ATLANTA MEDICAL CENTER, INC
Active
Parent organization
WELLSTAR ATLANTA MEDICAL CENTER, INC
Other names
WellStar Atlanta Medical Center Pt. B Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR ATLANTA MEDICAL CENTER, INC
Authorized official
ANTHONY J BUDZINSKI (EVP)
(470) 644-0012
Entity
Organization
Contact information
Practice address
1000 CORPORATE CENTER DR STE 200, MORROW, GA 30260-4129
(770) 968-6464
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000789A
—
GA
Enumeration date
03/07/2018
Last updated
02/24/2020
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