Organization
WELLSTREET OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONS (DISTRICT MANAGER)
(770) 502-2121
Entity
Organization
Contact information
Practice address
36320 DETROIT ROAD, SUITE 100, AVON, OH 44011-2834
(440) 540-4200
(440) 540-4250
Mailing address
1997 HEALTHWAY DR STE 101, AVON, OH 44011-2834
(440) 540-4200
(440) 540-4250
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
08/08/2024
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