Organization · Type 2 NPI

Wellstar Medical Group, LLC

Chiropractor · Marietta, GA

NPI number 1043619489 Active

Practice location

3747 Roswell Rd NE, Suite 311
Marietta, GA 30062-6227

Fax (770) 422-7797

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4 other providers at this address

Other chiropractor providers in Marietta

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NPI record

NPI: 1043619489
Entity type: Organization (Type 2)
Issued: Aug 21, 2014
Last updated: Jun 8, 2015
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Chiropractic · 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 1043619489

Wellstar Medical Group, LLC's National Provider Identifier is 1043619489, issued on Aug 21, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marietta, GA. The record was last updated on Jun 8, 2015.