Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Cherokee Street Internal & Preventive Medicine
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
191 CHEROKEE ST NE, MARIETTA, GA 30060-1609
(678) 354-3426
(678) 354-3469
Mailing address
191 CHEROKEE ST NE, MARIETTA, GA 30060-1609
(678) 354-3426
(678) 354-3469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
11/19/2013
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