WELLSTAR MEDICAL GROUP LLC NPI 1669817995

NPI Information

  • NPI: 1669817995
  • Provider Name: WELLSTAR MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Doing Business As: WELLSTAR INTENSIVISTS
  • Address: 677 CHURCH ST NE
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 422-1372

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineGEORGIANo
2207RP1001XInternal MedicinePulmonary DiseaseGEORGIANo
3207RC0200XInternal MedicineCritical Care MedicineGEORGIAYes

What is NPI?

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

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