Organization
WELLSTAR INTERNAL MEDICINE AT PAULDING, LLC
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
290 MERCHANTS SQ, SUITE F, DALLAS, GA 30132-5029
(678) 363-9225
(678) 363-7916
Mailing address
290 MERCHANTS SQ, SUITE F, DALLAS, GA 30132-5029
(678) 363-9225
(678) 363-7916
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
07/14/2008
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