Organization
WELLSTAR KENNESTONE OB/GYN, 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
2230 TOWNE LAKE PKWY, BUILDING 500, SUITE 100, WOODSTOCK, GA 30189-5540
(678) 445-5941
(678) 445-5950
Mailing address
2230 TOWNE LAKE PKWY, BUILDING 500, SUITE 100, WOODSTOCK, GA 30189-5540
(678) 445-5941
(678) 445-5950
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
07/14/2008
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