Organization
WELLSTAR ATLANTA MEDICAL CENTER, INC
Active
Other names
WellStar Atlanta Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J BUDZINSKI (EVP)
(470) 644-0012
Entity
Organization
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4000
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
(770) 792-5272
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
060-551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000789A
—
GA
05
—
000001713A
—
GA
01
—
000445
HUMANA
—
01
—
003419
BCBS OF GEORGIA
GA
05
—
03521208
—
MS
05
—
1100115
—
NC
01
—
110115B000000
SECTION 1011
GA
01
—
13313
COVENTRY HEALTH CARE GEOR
GA
05
—
1707945
—
LA
05
—
1990A
—
SC
01
—
573351850
AETNA US HEALTHCARE (NATI
—
01
—
582329008001
BCBS ILLINOIS
IL
01
—
58909
BCBS OF ARIZONA
AZ
01
—
918757200
MEDICAID OF FLORIDA
FL
05
—
ATL0115N
—
AL
Enumeration date
07/04/2006
Last updated
10/31/2024
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