Organization
WELLSTREET OF GEORGIA PC
Active
Other names
Piedmont Urgentcare by Wellstreet
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ALVORD (PRACTICE MANAGER)
(770) 521-6690
Entity
Organization
Contact information
Practice address
101 REGENCY PARK DR STE 110, MCDONOUGH, GA 30253-7076
(404) 996-0126
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
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154380A
—
GA
Enumeration date
04/25/2018
Last updated
06/16/2018
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