WELLSTREET OF GEORGIA PC NPI 1023771482

NPI Information

WELLSTREET OF GEORGIA PC is a non pharmacy dispensing site in Marietta, GA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) WELLSTREET OF GEORGIA PC NPI is 1023771482. The provider is registered as an organization entity type.

The provider's business location address is:

2505 DALLAS HWY SW
MARIETTA, GA
ZIP 30064-659
Phone: (678) 956-6230

The provider's authorized official is Heather Brock .
The authorized official title is Cred Supervisor and has the following contact phone number (678) 770-9005.

The enumeration date for this NPI number is 10/21/2021 and was last updated on 10/21/2021.

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:

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