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WELLSTAR CLINICAL PARTNERS MEDICARE ACO LLC NPI 1982970190


NPI Information

NPI: 1982970190
Provider Name: WELLSTAR CLINICAL PARTNERS MEDICARE ACO, LLC

Doing Business As: WELLSTAR ACO

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
793 SAWYER RD
MARIETTA, GA
ZIP 30062
Phone: (470) 644-0012
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WELLSTAR CLINICAL PARTNERS MEDICARE ACO, LLC is a voluntary or charitable in Marietta, GA. WELLSTAR CLINICAL PARTNERS MEDICARE ACO, LLC NPI is 1982970190. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellstar Aco.

The provider's business location address is:

793 SAWYER RD
MARIETTA, GA
ZIP 30062-222
Phone: (470) 644-0012
Fax: (770) 563-0730

The provider's authorized official is Jim Budzinski .
The authorized official title is Exec. Vp & Chief Financial Officer and has the following contact phone number (470) 644-0012.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 5/20/2019.


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
1251V00000XVoluntary or CharitableGEORGIAYes

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: 11/14/2023

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