Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL KAGAN (VP/CFO)
(470) 644-0065
Entity
Organization
Contact information
Practice address
1800 PARKWAY PL SE, MARIETTA, GA 30067-8200
(470) 267-2433
Mailing address
PO BOX 742322, ATLANTA, GA 30374-2322
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
GA
Other
Enumeration date
02/18/2016
Last updated
10/31/2024
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