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Organization

WELLSTAR MEDICAL GROUP, LLC

Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Urgent Care at Towne Lake
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization

Contact information

Practice address
120 STONEBRIDGE PKWY, SUITE 310, WOODSTOCK, GA 30189-3767
(678) 494-2500
(678) 494-2629
Mailing address
120 STONEBRIDGE PKWY, SUITE 310, WOODSTOCK, GA 30189-3767
(678) 494-2500
(678) 494-2629

Taxonomy

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

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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