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Organization

WELLSTAR SOUTH COBB RHEUMATOLOGY, 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 (EXEXCUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization

Contact information

Practice address
1680 HOSPITAL DRIVE, AUSTELL, GA 30106
(678) 945-2100
Mailing address
1600 HOSPITAL DRIVE, AUSTELL, GA 30106
(678) 945-2100

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
07/19/2007
Last updated
07/14/2008
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