WELLSTAR MEDICAL GROUP LLC NPI 1790189983

NPI Information

  • NPI: 1790189983
  • Provider Name: WELLSTAR MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: WELLSTAR COMPLEX CARE CLINIC
  • Address: 355 TOWER RD NE
    1ST FLOOR
    MARIETTA, GA
    ZIP 30060
  • Phone: (470) 644-0029

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NPI Details

WELLSTAR MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Marietta, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. WELLSTAR MEDICAL GROUP, LLC NPI is 1790189983. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellstar Complex Care Clinic.

The provider's business location address is:

355 TOWER RD NE
1ST FLOOR
MARIETTA, GA
ZIP 30060-408
Phone: (470) 644-0029
Fax: (770) 499-0352

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 10/16/2014 and was last updated on 10/16/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineGEORGIANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismGEORGIAYes

What is NPI?

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

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