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WELLSTAR MEDICAL GROUP LLC NPI 1275814964


NPI Information

NPI: 1275814964
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR FAMILY MEDICINE & GERIATRIC MEDICINE

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3939 ROSWELL RD
SUITE 240
MARIETTA, GA
ZIP 30062
Phone: (678) 403-4660
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WELLSTAR MEDICAL GROUP, LLC is a geriatric medicine family medicine in Marietta, GA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. WELLSTAR MEDICAL GROUP, LLC NPI is 1275814964. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellstar Family Medicine & Geriatric Medicine.

The provider's business location address is:

3939 ROSWELL RD
SUITE 240
MARIETTA, GA
ZIP 30062-251
Phone: (678) 403-4660
Fax: (770) 971-6994

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 9/8/2011 and was last updated on 11/19/2013.


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
1207Q00000XFamily MedicineGEORGIANo
2207QG0300XFamily MedicineGeriatric MedicineGEORGIAYes

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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