Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Cardiovascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
61 WHITCHER ST NE, SUITE 4100, MARIETTA, GA 30060-1176
(770) 590-4180
(770) 590-4187
Mailing address
61 WHITCHER ST NE, SUITE 4100, MARIETTA, GA 30060-1176
(770) 590-4180
(770) 590-4187
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
GA
Other
Enumeration date
08/21/2013
Last updated
11/19/2013
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