Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Rheumatology
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
4480 N COOPER LAKE RD SE, SUITE 201, SMYRNA, GA 30082-4622
(770) 333-2035
(770) 333-2059
Mailing address
4480 N COOPER LAKE RD SE, SUITE 201, SMYRNA, GA 30082-4622
(770) 333-2035
(770) 333-2059
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
GA
Other
Enumeration date
05/24/2011
Last updated
11/19/2013
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