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WELLSTREET OF GEORGIA PC NPI 1760126502


NPI Information

NPI: 1760126502
Provider Name: WELLSTREET OF GEORGIA PC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
2637 PEACHTREE PKWY
SUWANEE, GA
ZIP 30024
Phone: (470) 523-9080
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WELLSTREET OF GEORGIA PC is a non pharmacy dispensing site in Suwanee, GA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) WELLSTREET OF GEORGIA PC NPI is 1760126502. The provider is registered as an organization entity type.

The provider's business location address is:

2637 PEACHTREE PKWY
SUWANEE, GA
ZIP 30024-048
Phone: (470) 523-9080
Fax: (470) 398-3176

The provider's authorized official is Katie Cassarino .
The authorized official title is Practice Manager and has the following contact phone number (678) 414-2824.

The enumeration date for this NPI number is 4/27/2022 and was last updated on 4/27/2022.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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: 5/5/2024

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