Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
OrthoXpress of Acworth
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
LOUETTA M CODY (CREDENTIALING)
(470) 956-4837
Entity
Organization
Contact information
Practice address
4900 IVEY RD NW STE 1401, ACWORTH, GA 30101-4007
(470) 648-8108
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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