WELLSTAR SURGICAL ASSOCIATES OF MARIETTA NPI 1003235383

NPI Information

NPI: 1003235383
Provider Name: WELLSTAR SURGICAL ASSOCIATES OF MARIETTA

Other Name: WELLSTAR HOSPITAL KENNESTONE

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
55 WHITCHER ST NE STE 130
MARIETTA, GA
ZIP 30060
Phone: (770) 428-0462
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WELLSTAR SURGICAL ASSOCIATES OF MARIETTA is a critical access general acute care hospital in Marietta, GA. The provider is definition to come. WELLSTAR SURGICAL ASSOCIATES OF MARIETTA NPI is 1003235383. The provider is registered as an organization entity type.
The provider Other Name Is Wellstar Hospital Kennestone.

The provider's business location address is:

55 WHITCHER ST NE STE 130
MARIETTA, GA
ZIP 30060-156
Phone: (770) 428-0462
Fax: (770) 428-0462

The provider's authorized official is Anita Joyce Johnson .
The authorized official title is Nurse Practitioner and has the following contact phone number (770) 428-0462.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 4/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	RN175391	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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