Organization
WELLSTREET OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONS (DISTRICT MANAGER)
(678) 414-2824
Entity
Organization
Contact information
Practice address
14800 MADISON AVE, LAKEWOOD, OH 44107-4010
(216) 925-4600
(216) 925-4601
Mailing address
14800 MADISON AVE, LAKEWOOD, OH 44107-4010
(216) 925-4600
(216) 925-4601
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/18/2023
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