Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Marietta, GA

NPI number 1194021733 Active

Practice location

1010 Johnson Ferry Rd
Marietta, GA 30068-2108

Fax (770) 579-7942

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.

20 other providers at this address

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NPI record

NPI: 1194021733
Entity type: Organization (Type 2)
Issued: Jan 30, 2011
Last updated: Nov 19, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar East Cobb Medical Center · 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 1194021733

Wellstar Medical Group, LLC's National Provider Identifier is 1194021733, 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 19, 2013.