Organization
WELLSTAR EAST PAULDING PRIMARY CARE CENTER, 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 (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
176 MARIETTA HWY, BUILDING A, HIRAM, GA 30141-1836
(678) 945-8200
(678) 945-8209
Mailing address
176 MARIETTA HWY, BUILDING A, HIRAM, GA 30141-1836
(678) 945-8200
(678) 945-8209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
07/14/2008
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