Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Braselton, GA

NPI number 1073492013 Active

Practice location

3711 Village Way Ste A
Braselton, GA 30517-2201

Fax (470) 615-2662

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

About NPI 1073492013

Wellstreet of Georgia PC's National Provider Identifier is 1073492013, issued on Sep 2, 2025. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Braselton, GA. The record was last updated on Sep 2, 2025.