Organization · Type 2 NPI

Wellstar Medical Group, LLC

Obstetrics & Gynecology Physician · Austell, GA

NPI number 1013213651 Active

Practice location

1791 Mulkey Rd, Suite 200
Austell, GA 30106-1124

Fax (770) 944-0327

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11 other providers at this address

Other obstetrics & gynecology physician providers in Austell

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NPI record

NPI: 1013213651
Entity type: Organization (Type 2)
Issued: Jan 30, 2011
Last updated: Nov 19, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Cobb Gynecologists · doing business as

Authorized official

Mrs. Nicole Ashe
Executive Director of Finance
(470) 644-0095

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013213651

Wellstar Medical Group, LLC's National Provider Identifier is 1013213651, issued on Jan 30, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Austell, GA. The record was last updated on Nov 19, 2013.