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WELLSTAR MEDICAL GROUP LLC NPI 1871871160


NPI Information

NPI: 1871871160
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR FAMILY MEDICINE NWGFP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2513 SHALLOWFORD RD
BUILDING 100
MARIETTA, GA
ZIP 30066
Phone: (770) 516-3500
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WELLSTAR MEDICAL GROUP, LLC is a family medicine in Marietta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLSTAR MEDICAL GROUP, LLC NPI is 1871871160. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Family Medicine Nwgfp.

The provider's business location address is:

2513 SHALLOWFORD RD
BUILDING 100
MARIETTA, GA
ZIP 30066-809
Phone: (770) 516-3500
Fax: (770) 516-3600

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (770) 792-5261.

The enumeration date for this NPI number is 8/3/2011 and was last updated on 9/8/2011.


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 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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