Organization
WELLSTREET OF GEORGIA PC
Active
Other names
WellStreet Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ELLISON (VICE PRESIDENT REVENUE CYCLE MANAGE)
(770) 502-2121
Entity
Organization
Contact information
Practice address
1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265-6416
(770) 502-2121
(770) 502-2113
Mailing address
3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300
(404) 996-0344
(404) 662-2399
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137211A
—
GA
Enumeration date
09/13/2011
Last updated
11/05/2025
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