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WELLSTAR MEDICAL GROUP LLC NPI 1043619489


NPI Information

NPI: 1043619489
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3747 ROSWELL RD NE
SUITE 311
MARIETTA, GA
ZIP 30062
Phone: (770) 422-2326
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WELLSTAR MEDICAL GROUP, LLC is a chiropractor in Marietta, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLSTAR MEDICAL GROUP, LLC NPI is 1043619489. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Chiropractic.

The provider's business location address is:

3747 ROSWELL RD NE
SUITE 311
MARIETTA, GA
ZIP 30062-227
Phone: (770) 422-2326
Fax: (770) 422-7797

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 8/21/2014 and was last updated on 6/8/2015.


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
1111N00000XChiropractorGEORGIAYes

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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