Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Urgent Care at Cooper Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
4480 N COOPER LAKE RD SE, SUITE 100, SMYRNA, GA 30082-4622
(770) 333-1300
(770) 432-8312
Mailing address
4480 N COOPER LAKE RD SE, SUITE 100, SMYRNA, GA 30082-4622
(770) 333-1300
(770) 432-8312
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
GA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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