Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Psychological Services
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
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 514-6760
(770) 794-8034
Mailing address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 514-6760
(770) 794-8034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
GA
Other
Enumeration date
08/18/2011
Last updated
11/19/2013
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