Organization
WELLSTAR PROFESSIONAL SERVICES, LLC
Active
Organization
WELLSTAR PROFESSIONAL SERVICES, 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 (EXECTUIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
805 SANDY PLAINS RD, WPG-CBO, MARIETTA, GA 30066-6340
(770) 792-5278
Mailing address
805 SANDY PLAINS RD, WPG-CBO, MARIETTA, GA 30066-6340
(770) 792-5278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
03/24/2008
Last updated
07/14/2008
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