Organization
WELLSTAR URGENT CARE AT COOPER LAKE, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
MS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
4480 N COOPER LAKE ROAD SE, SUITE 100, SMRYNA, GA 30082
(770) 331-1300
(770) 432-8312
Mailing address
4480 N COOPER LAKE ROAD SE, SUITE 100, SMRYNA, GA 30082
(770) 331-1300
(770) 432-8312
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
07/14/2008
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