Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Trauma
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
55 WHITCHER ST NE, SUITE 130, MARIETTA, GA 30060-1156
(770) 426-1629
(770) 427-8001
Mailing address
55 WHITCHER ST NE, SUITE 130, MARIETTA, GA 30060-1156
(770) 426-1629
(770) 427-8001
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
GA
Other
Enumeration date
04/13/2011
Last updated
06/05/2015
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