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WELLSTAR MEDICAL GROUP LLC NPI 1184920233


NPI Information

NPI: 1184920233
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR NORTHWEST WOMEN'S CARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D0880929

Address:
833 CAMPBELL HILL ST NW
SUITE 400
MARIETTA, GA
ZIP 30060
Phone: (770) 528-0260
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WELLSTAR MEDICAL GROUP, LLC is an obstetrics gynecology in Marietta, 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 1184920233. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Northwest Women's Care.

The provider's business location address is:

833 CAMPBELL HILL ST NW
SUITE 400
MARIETTA, GA
ZIP 30060-134
Phone: (770) 528-0260
Fax: (770) 528-0269

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 11D0880929 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/8/2011 and was last updated on 11/18/2013.


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
1207V00000XObstetrics & GynecologyGEORGIAYes

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: 11/14/2023

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