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WELLSTAR INFECTIOUS DISEASE LLC NPI 1093760282


NPI Information

NPI: 1093760282
Provider Name: WELLSTAR INFECTIOUS DISEASE, LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 11D2272516

Address:
55 WHITCHER ST NE
SUITE 220
MARIETTA, GA
ZIP 30060
Phone: (770) 429-0083
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WELLSTAR INFECTIOUS DISEASE, LLC is an infectious disease internal medicine in Marietta, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. WELLSTAR INFECTIOUS DISEASE, LLC NPI is 1093760282. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 WHITCHER ST NE
SUITE 220
MARIETTA, GA
ZIP 30060-155
Phone: (770) 429-0083
Fax: (770) 425-0137

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (770) 792-5261.

The CLIA number assigned to this NPI record is 11D2272516 - other - employee clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 1/25/2011.


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
1207R00000XInternal MedicineGEORGIANo
2207RI0200XInternal MedicineInfectious 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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