Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Cobb Gynecologists
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
1791 MULKEY RD, SUITE 200, AUSTELL, GA 30106-1124
(770) 732-5400
(770) 944-0327
Mailing address
1791 MULKEY RD, SUITE 200, AUSTELL, GA 30106-1124
(770) 732-5400
(770) 944-0327
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
GA
Other
Enumeration date
01/30/2011
Last updated
11/19/2013
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