WELLSTAR MEDICAL GROUP LLC NPI 1194078170

NPI Information

  • NPI: 1194078170
  • Provider Name: WELLSTAR MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Doing Business As: WELLSTAR INFECTIOUS DISEASE (DOUGLAS)
  • Address: 6043 PRESTLEY MILL RD
    SUITE C
    DOUGLASVILLE, GA
    ZIP 30134
  • Phone: (770) 920-3076

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NPI Details

WELLSTAR MEDICAL GROUP, LLC is an infectious disease internal medicine in Douglasville, 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 MEDICAL GROUP, LLC NPI is 1194078170. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Infectious Disease (douglas).

The provider's business location address is:

6043 PRESTLEY MILL RD
SUITE C
DOUGLASVILLE, GA
ZIP 30134-280
Phone: (770) 920-3076
Fax: (770) 949-8969

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 10/16/2012 and was last updated on 5/27/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseGEORGIAYes

What is NPI?

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

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