Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Endocrinology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
3747 ROSWELL RD NE, SUITE 212, MARIETTA, GA 30062-6215
(678) 403-4300
(770) 999-2166
Mailing address
3747 ROSWELL RD NE, SUITE 212, MARIETTA, GA 30062-6215
(678) 403-4300
(770) 999-2166
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
GA
Other
Enumeration date
08/18/2011
Last updated
06/08/2015
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