Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Mcdonough, GA

NPI number 1174384010 Active

Practice location

2050 Jonesboro Rd, Suite 100
Mcdonough, GA 30253

Fax (678) 935-0095

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.)

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About NPI 1174384010

Wellstreet of Georgia PC's National Provider Identifier is 1174384010, issued on Jan 18, 2024. 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 Mar 14, 2024.