Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Transplant Surgery
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
793 SAWYER RD, MARIETTA, GA 30062-2222
(470) 644-0170
(770) 563-0741
Mailing address
793 SAWYER RD, MARIETTA, GA 30062-2222
(470) 644-0170
(770) 563-0741
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
GA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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