Organization
WELLSTAR BI-COUNTY ENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ASHE (ASSISTANT VP OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
6002 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134-5600
(770) 949-4200
(770) 949-5553
Mailing address
6002 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134-5600
(770) 949-4200
(770) 949-5553
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
03/23/2011
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