WELLSTAR MEDICAL GROUP LLC NPI 1013213651

NPI Information

  • NPI: 1013213651
  • Provider Name: WELLSTAR MEDICAL GROUP, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: WELLSTAR COBB GYNECOLOGISTS
  • Address: 1791 MULKEY RD
    SUITE 200
    AUSTELL, GA
    ZIP 30106
  • Phone: (770) 732-5400

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NPI Details

WELLSTAR MEDICAL GROUP, LLC is an obstetrics gynecology in Austell, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WELLSTAR MEDICAL GROUP, LLC NPI is 1013213651. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Cobb Gynecologists.

The provider's business location address is:

1791 MULKEY RD
SUITE 200
AUSTELL, GA
ZIP 30106-124
Phone: (770) 732-5400
Fax: (770) 944-0327

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyGEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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