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Organization

WELLSTREET OF GEORGIA PC

Active
Parent organization
WELLSTREET OF GEORGIA PC
Other names
Piedmont Urgentcare by Wellstreet
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLSTREET OF GEORGIA PC
Authorized official
KEESHA D PINACLE (CREDENTIALING COORDINATOR)
(770) 809-3036
Entity
Organization

Contact information

Practice address
5239 HIGHWAY 278 NE, COVINGTON, GA 30014-2671
(678) 660-5106
(678) 660-5107
Mailing address
3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300
(770) 809-3036

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
07/24/2018
Last updated
07/24/2018
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