# WELLSTREET OF GEORGIA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLSTREET OF GEORGIA PC
- **Other names:** Piedmont Urgent Care by Wellstreet
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912588310
- **Legal business name:** WELLSTREET OF GEORGIA PC
- **Authorized official:** KATIE CASSARINO (PRACTICE MANAGER)
- **Authorized official phone:** (470) 433-3449

## Contact information

- **Practice address:** 749 LANIER AVE W, FAYETTEVILLE, GA 30214-7658
- **Practice address phone:** (770) 835-4925
- **Mailing address:** 3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 04/16/2021