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Organization

SOUTH COBB OB/GYN, P. C.

Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Other names
WellStar South Cobb Ob/Gyn, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization

Contact information

Practice address
1700 HOSPITAL SOUTH DR, SUITE 500, AUSTELL, GA 30106-6810
(770) 941-7717
(770) 948-9729
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 500, AUSTELL, GA 30106-6810
(770) 941-7717
(770) 948-9729

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
05/27/2006
Last updated
07/14/2008
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