Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Structural Heart Clinic
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
61 WHITCHER ST NE, SUITE 4100B, MARIETTA, GA 30060-1181
(770) 590-4180
(770) 590-4186
Mailing address
61 WHITCHER ST NE, SUITE 4100B, MARIETTA, GA 30060-1181
(770) 590-4180
(770) 590-4186
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
GA
Other
Enumeration date
10/16/2014
Last updated
01/15/2015
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