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WELLSTAR MEDICAL GROUP LLC NPI 1215330451


NPI Information

NPI: 1215330451
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR TRANSPLANT SURGERY

Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
793 SAWYER RD
MARIETTA, GA
ZIP 30062
Phone: (470) 644-0170
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WELLSTAR MEDICAL GROUP, LLC is a transplant surgery in Marietta, GA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee WELLSTAR MEDICAL GROUP, LLC NPI is 1215330451. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Transplant Surgery.

The provider's business location address is:

793 SAWYER RD
MARIETTA, GA
ZIP 30062-222
Phone: (470) 644-0170
Fax: (770) 563-0741

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 10/2/2014 and was last updated on 10/2/2014.


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
1204F00000XTransplant SurgeryGEORGIAYes

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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