Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Carrollton, GA

NPI number 1174104574 Active

Practice location

909 S Park St
Carrollton, GA 30117-4456

Mailing address

3350 Riverwood Pkwy SE Ste 1850
Atlanta, GA 30339-3300

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.)

3 other providers at this address

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About NPI 1174104574

Wellstreet of Georgia PC's National Provider Identifier is 1174104574, issued on Apr 16, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Carrollton, GA. The record was last updated on Apr 16, 2021.