Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Radiation Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
320 KENNESTONE HOSPITAL BLVD, SUITE LL1, MARIETTA, GA 30060-1161
(770) 793-7500
(770) 793-7985
Mailing address
320 KENNESTONE HOSPITAL BLVD, SUITE LL1, MARIETTA, GA 30060-1161
(770) 793-7500
(770) 793-7985
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
GA
Other
Enumeration date
03/23/2012
Last updated
11/19/2013
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