Organization
WELLSTAR TOWNE LAKE MEDICAL CENTER, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
145 N MEDICAL PKWY, WOODSTOCK, GA 30189-7031
(770) 592-3000
(770) 592-3012
Mailing address
145 N MEDICAL PKWY, WOODSTOCK, GA 30189-7031
(770) 592-3000
(770) 592-3012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
07/14/2008
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