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WELLSTAR MEDICAL GROUP LLC NPI 1669817995


NPI Information

NPI: 1669817995
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR INTENSIVISTS

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
677 CHURCH ST NE
MARIETTA, GA
ZIP 30060
Phone: (770) 422-1372
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WELLSTAR MEDICAL GROUP, LLC is a critical care medicine internal medicine in Marietta, GA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. WELLSTAR MEDICAL GROUP, LLC NPI is 1669817995. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellstar Intensivists.

The provider's business location address is:

677 CHURCH ST NE
MARIETTA, GA
ZIP 30060-101
Phone: (770) 422-1372
Fax: (770) 423-9651

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 4/30/2013 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
1207R00000XInternal MedicineGEORGIANo
2207RP1001XInternal MedicinePulmonary DiseaseGEORGIANo
3207RC0200XInternal MedicineCritical Care 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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