Organization
WELLSTAR HEALTH SYSTEM
Active
Organization
WELLSTAR HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON KRAUSE MD (MEDICAL DIRECTOR)
(770) 426-3828
Entity
Organization
Contact information
Practice address
3630 EDENBOURGH PL, MARIETTA, GA 30066-3081
(404) 388-4800
Mailing address
3630 EDENBOURGH PL, MARIETTA, GA 30066-3081
(404) 388-4800
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1336113919
GA
Other
Enumeration date
10/01/2012
Last updated
02/24/2020
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