Organization
WELLSTREET OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONS (PRACTICE MANAGER)
(678) 414-2824
Entity
Organization
Contact information
Practice address
1175 N GLYNN ST, FAYETTEVILLE, GA 30214-1390
(770) 881-8886
(770) 881-8889
Mailing address
1175 N GLYNN ST, FAYETTEVILLE, GA 30214-1390
(770) 881-8886
(770) 881-8889
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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