Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar SafePath Childrens Advocacy Center
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
736 WHITLOCK AVE NW, SUITE 600, MARIETTA, GA 30064-0001
(770) 801-3465
(770) 801-3465
Mailing address
736 WHITLOCK AVE NW, SUITE 600, MARIETTA, GA 30064-0001
(770) 801-3465
(770) 801-3465
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
—
GA
Other
Enumeration date
03/30/2015
Last updated
09/30/2015
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