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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 Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
55 WHITCHER ST NE, SUITE 450, MARIETTA, GA 30060-1155
(770) 590-4188
(770) 590-4189
Mailing address
55 WHITCHER ST NE, SUITE 450, MARIETTA, GA 30060-1155
(770) 590-4188
(770) 590-4189
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
GA
Other
Enumeration date
04/08/2013
Last updated
11/19/2013
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