WELLSTAR MEDICAL GROUP LLC NPI 1629374681

NPI Information

WELLSTAR MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Marietta, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. WELLSTAR MEDICAL GROUP, LLC NPI is 1629374681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellstar Medical Specialists.

The provider's business location address is:

625 CHURCH ST NE
MARIETTA, GA
ZIP 30060-101
Phone: (770) 422-2004
Fax: (770) 422-8465

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 2/8/2011 and was last updated on 11/18/2013.

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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