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Organization

WELLSTAR CLINICAL PARTNERS MEDICARE ACO, LLC

Active
Parent organization
WELLSTAR CLINICAL PARTNERS MEDICARE ACO, LLC
Other names
WellStar ACO
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLSTAR CLINICAL PARTNERS MEDICARE ACO, LLC
Authorized official
MR. JIM BUDZINSKI (EXEC. VP & CHIEF FINANCIAL OFFICER)
(470) 644-0012
Entity
Organization

Contact information

Practice address
793 SAWYER RD, MARIETTA, GA 30062-2222
(470) 644-0012
(770) 563-0730
Mailing address
793 SAWYER RD, MARIETTA, GA 30062-2222
(470) 644-0012
(770) 563-0730

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
GA

Other

Enumeration date
04/02/2012
Last updated
05/20/2019
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