Organization · Type 2 NPI
Wellstreet of Georgia PC
Non-Pharmacy Dispensing Site · Mcdonough, GA
NPI number
1164910253
Active
Practice location
101 Regency Park Dr Ste 110
Mcdonough, GA 30253-7076
Mailing address
3350 Riverwood Pkwy SE Ste 1850
Atlanta, GA 30339-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None 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.)
7 other providers at this address
- Briana AdkinsFamily Nurse Practitioner Mcdonough, GA NPI 1689564239
- Chelsea Halpin Lee, FNP-CFamily Nurse Practitioner Mcdonough, GA NPI 1659218170
- Daniella Muller-Boone, MMS, PA-CPhysician Assistant Mcdonough, GA NPI 1639693419
- Daphene Smith, PAPhysician Assistant Mcdonough, GA NPI 1497869689
- Ishani Kirankumar Patel, MDFamily Medicine Physician Mcdonough, GA NPI 1245812569
- John Mark Lidell, M.M.SC., PA-CPhysician Assistant Mcdonough, GA NPI 1962487538
- Stacey Tsitsilianos, FNP-C, ENP-CFamily Nurse Practitioner Mcdonough, GA NPI 1437898434
Other non-pharmacy dispensing site providers in Mcdonough
About NPI 1164910253
Wellstreet of Georgia PC's National Provider Identifier is 1164910253, issued on Apr 25, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Mcdonough, GA. The record was last updated on Jun 16, 2018.