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WELLSTAR MEDICAL GROUP LLC NPI 1356736250


NPI Information

NPI: 1356736250
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR SAFEPATH CHILDRENS ADVOCACY CENTER

Classification: Pediatrics - 2080C0008X
Entity Type: Organization

Specialization: Child Abuse Pediatrics

Address:
736 WHITLOCK AVE NW
SUITE 600
MARIETTA, GA
ZIP 30064
Phone: (770) 801-3465
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WELLSTAR MEDICAL GROUP, LLC is a child abuse pediatrics pediatrics in Marietta, GA. The provider is a Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. WELLSTAR MEDICAL GROUP, LLC NPI is 1356736250. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Safepath Childrens Advocacy Center.

The provider's business location address is:

736 WHITLOCK AVE NW
SUITE 600
MARIETTA, GA
ZIP 30064-001
Phone: (770) 801-3465
Fax: (770) 801-3465

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (470) 644-0095.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 9/30/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080C0008XPediatricsChild Abuse PediatricsGEORGIAYes

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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