Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Marietta, GA

NPI number 1093011637 Active

Practice location

114 Cherry St NE, Suite A
Marietta, GA 30060-7277

Fax (770) 429-8628

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.

2 other providers at this address

Other family medicine physician providers in Marietta

See all in Marietta →

NPI record

NPI: 1093011637
Entity type: Organization (Type 2)
Issued: Jan 30, 2011
Last updated: Nov 18, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

<unavail>
Wellstar Marietta Family Medicine · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1093011637

Wellstar Medical Group, LLC's National Provider Identifier is 1093011637, issued on Jan 30, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Marietta, GA. The record was last updated on Nov 18, 2013.