Organization
WELLSTAR HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAXIT R PATEL M.D. (PHYSICIAN)
(470) 956-8364
Entity
Organization
Contact information
Practice address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(470) 956-8364
Mailing address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(470) 956-8364
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
64951
GA
282N00000X
General Acute Care Hospital
64951
GA
Other
Enumeration date
01/22/2014
Last updated
02/24/2020
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