Organization
WELLSTREET OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONS (PRACTICE MANAGER)
(678) 414-2824
Entity
Organization
Contact information
Practice address
2925 BUFORD DR APT 1110, BUFORD, GA 30519-5222
(678) 535-0400
(678) 535-0425
Mailing address
2925 BUFORD DR APT 1110, BUFORD, GA 30519-5222
(678) 535-0400
(678) 535-0425
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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