Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Ob/Gyn Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
3950 AUSTELL RD, OB/GYN HOSPITALISTS, AUSTELL, GA 30106-1121
(770) 732-4022
(770) 732-4023
Mailing address
3950 AUSTELL RD, OB/GYN HOSPITALISTS, AUSTELL, GA 30106-1121
(770) 732-4022
(770) 732-4023
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
GA
Other
Enumeration date
08/17/2012
Last updated
11/18/2013
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