Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Powder Springs, GA

NPI number 1093011603 Active

Practice location

4250 Brownsville Rd
Powder Springs, GA 30127-2559

Fax (770) 439-3555

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

9 other providers at this address

Other family medicine physician providers in Powder Springs

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NPI record

NPI: 1093011603
Entity type: Organization (Type 2)
Issued: Jan 28, 2011
Last updated: Nov 19, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Powder Springs Medical Center · 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 1093011603

Wellstar Medical Group, LLC's National Provider Identifier is 1093011603, issued on Jan 28, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Powder Springs, GA. The record was last updated on Nov 19, 2013.