Organization
WELLSTAR REHAB MEDICINE, 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
100 LACY ST NW, SUITE 150, MARIETTA, GA 30060-1113
(770) 793-7635
(770) 793-7645
Mailing address
100 LACY ST NW, SUITE 150, MARIETTA, GA 30060-1113
(770) 793-7635
(770) 793-7645
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/14/2008
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