Organization
WELLSTAR HEALTH VENTURES, LLC
Active
Parent organization
WELLSTAR HEALTH VENTURES, LLC
Other names
WellStar OrthoSport
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH VENTURES, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(470) 644-0095
Entity
Organization
Contact information
Practice address
3450 ACWORTH DUE WEST RD NW, KENNESAW, GA 30144-1001
(770) 974-7494
(770) 974-9141
Mailing address
3450 ACWORTH DUE WEST RD NW, KENNESAW, GA 30144-1001
(770) 974-7494
(770) 974-9141
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
GA
Other
Enumeration date
11/16/2011
Last updated
11/18/2013
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