Organization
WELLSTREET OF GEORGIA PC
Active
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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