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WELLSTAR MEDICAL GROUP LLC NPI 1639475270


NPI Information

NPI: 1639475270
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR PULMONARY MEDICINE

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
55 WHITCHER ST NE
SUITE 160
MARIETTA, GA
ZIP 30060
Phone: (770) 422-1372
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WELLSTAR MEDICAL GROUP, LLC is a pulmonary disease internal medicine in Marietta, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. WELLSTAR MEDICAL GROUP, LLC NPI is 1639475270. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellstar Pulmonary Medicine.

The provider's business location address is:

55 WHITCHER ST NE
SUITE 160
MARIETTA, GA
ZIP 30060-155
Phone: (770) 422-1372
Fax: (770) 423-9651

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 1/30/2011 and was last updated on 11/19/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineGEORGIANo
2207R00000XInternal MedicineGEORGIANo
3207RG0300XInternal MedicineGeriatric MedicineGEORGIANo
4207RP1001XInternal MedicinePulmonary DiseaseGEORGIAYes

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

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