Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Kennestone Ob/Gyn
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
699 CHURCH ST NE, SUITE 500, MARIETTA, GA 30060-1110
(770) 793-9750
(770) 919-0581
Mailing address
699 CHURCH ST NE, SUITE 500, MARIETTA, GA 30060-1110
(770) 793-9750
(770) 919-0581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
GA
Other
Enumeration date
03/15/2011
Last updated
11/18/2013
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