Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Comprehensive Bariatric Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
55 WHITCHER ST NE, SUITE 410, MARIETTA, GA 30060-1155
(770) 919-7050
(770) 919-7051
Mailing address
55 WHITCHER ST NE, SUITE 410, MARIETTA, GA 30060-1155
(770) 919-7050
(770) 919-7051
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
Other
Enumeration date
05/24/2011
Last updated
11/19/2013
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