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
36001 EUCLID AVE UNIT 5, WILLOUGHBY, OH 44094-4643
(440) 484-2160
(440) 484-2165
Mailing address
36001 EUCLID AVE UNIT 5, WILLOUGHBY, OH 44094-4643
(440) 484-2160
(440) 484-2165
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/18/2023
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