NPI: 1669752911
Provider Name: WELLSTAR MEDICAL GROUP, LLC
Doing Business As: WELLSTAR ENDOCRINOLOGY
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 11D2056143
Address:
3747 ROSWELL RD NE
SUITE 212
MARIETTA, GA
ZIP 30062
Phone: (678) 403-4300
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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 1669752911. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Endocrinology.
The provider's business location address is:
3747 ROSWELL RD NE
SUITE 212
MARIETTA, GA
ZIP 30062-215
Phone: (678) 403-4300
Fax: (770) 999-2166
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 CLIA number assigned to this NPI record is 11D2056143 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/18/2011 and was last updated on 6/8/2015.