Organization
WELLSTREET OF GEORGIA PC
Active
Other names
Piedmont Urgentcare of Wellstreet
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY CARTER (DIRECTOR)
(404) 996-0344
Entity
Organization
Contact information
Practice address
3617 ROSWELL RD NE STE A, ATLANTA, GA 30305-1111
(770) 809-3036
Mailing address
3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300
(770) 809-3036
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136510A
—
GA
Enumeration date
12/01/2017
Last updated
12/01/2017
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