WELLSTAR PROFESSIONAL SERVICES LLC NPI 1518139195

NPI Information

NPI: 1518139195
Provider Name: WELLSTAR PROFESSIONAL SERVICES, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
805 SANDY PLAINS RD
WPG-CBO
MARIETTA, GA
ZIP 30066
Phone: (770) 792-5278
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WELLSTAR PROFESSIONAL SERVICES, LLC is a cardiovascular disease internal medicine in Marietta, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WELLSTAR PROFESSIONAL SERVICES, LLC NPI is 1518139195. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

805 SANDY PLAINS RD
WPG-CBO
MARIETTA, GA
ZIP 30066-340
Phone: (770) 792-5278

The provider's authorized official is Nicole Ashe .
The authorized official title is Exectuive Director Of Finance and has the following contact phone number (770) 792-5261.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 7/14/2008.

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	Primary
1	207RI0200X	Internal Medicine	Infectious Disease	No
2	2080P0202X	Pediatrics	Pediatric Cardiology	No
3	2086S0129X	Surgery	Vascular Surgery	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	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: 4/28/2024

NPI Synchronization or Removal

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