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Organization

WELLSTAR COBB REHABILITATION MEDICINE, LLC

Active
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Organization

WELLSTAR COBB REHABILITATION MEDICINE, LLC

Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
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
1680 HOSPITAL DRIVE, AUSTELL, GA 30106
(678) 945-2071
(770) 941-3870
Mailing address
1680 HOSPITAL DRIVE, AUSTELL, GA 30106
(678) 945-2071
(770) 941-3870

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
06/08/2006
Last updated
07/14/2008
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