Organization
WELLSTAR HEALTHCARE SYSTEM
Active
Other names
WellStar Health Ventures
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY M BENNETT MA (REVENUE MANAGEMENT)
(770) 792-5284
Entity
Organization
Contact information
Practice address
818 CHURCH ST NE, MARIETTA, GA 30060-8969
(770) 792-5284
(770) 792-1513
Mailing address
805 SANDY PLAINS RD, ATTENTION: REVENUE MANAGEMENT, MARIETTA, GA 30066-6340
(770) 792-5284
(770) 792-1513
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PT007517
GA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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