Organization · Type 2 NPI

Wellstar Medical Group, LLC

Pediatrics Physician · Woodstock, GA

NPI number 1154627115 Active

Practice location

145 N Medical Pkwy
Woodstock, GA 30189-7031

Call (770) 517-1900 Map

Fax (770) 926-3215

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

17 other providers at this address

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NPI record

NPI: 1154627115
Entity type: Organization (Type 2)
Issued: Feb 8, 2011
Last updated: Nov 19, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Towne Lake Pediatrics · 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 1154627115

Wellstar Medical Group, LLC's National Provider Identifier is 1154627115, issued on Feb 8, 2011. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Woodstock, GA. The record was last updated on Nov 19, 2013.