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
528 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 395-3030
Mailing address
528 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 395-3030
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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