Organization
WELLSTREET OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONS (DISTRICT MANAGER)
(770) 502-2121
Entity
Organization
Contact information
Practice address
4282 BELLS FERRY RD NW, KENNESAW, GA 30144-1302
(678) 701-4125
(678) 701-4126
Mailing address
4282 BELLS FERRY RD NW, KENNESAW, GA 30144-1302
(678) 701-4125
(678) 701-4126
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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