Organization
WELLSTAR INTERNAL MEDICINE OF COBB, 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
1790 MULKEY RD, SUITE 10, AUSTELL, GA 30106-1122
(770) 739-6071
(770) 739-4632
Mailing address
1790 MULKEY RD, SUITE 10, AUSTELL, GA 30106-1122
(770) 739-6071
(770) 739-4632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
07/14/2008
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