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
56293 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-5019
(586) 932-4539
(586) 932-4570
Mailing address
56293 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-5019
(586) 932-4539
(586) 932-4570
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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