Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Other names
KSU Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHHAVI NOOHANI DO (MEDICAL DIRECTOR)
(470) 578-6644
Entity
Organization
Contact information
Practice address
1000 TECHNOLOGY WAY SUITE 1107, MARIETTA, GA 30060
(470) 578-6644
(470) 578-9205
Mailing address
793 SAWYER ROAD, MARIETTA, GA 30062
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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