Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Marietta, GA

NPI number 1255633004 Active

Practice location

3747 Roswell Rd NE, Suite 216
Marietta, GA 30062-6234

Fax (770) 973-9245

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.

4 other providers at this address

Other family medicine physician providers in Marietta

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NPI record

NPI: 1255633004
Entity type: Organization (Type 2)
Issued: Nov 30, 2010
Last updated: Jun 8, 2015
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Family Medicine Ec · doing business as

Authorized official

Mrs. Nicole Ashe
Executive VP 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 1255633004

Wellstar Medical Group, LLC's National Provider Identifier is 1255633004, issued on Nov 30, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Marietta, GA. The record was last updated on Jun 8, 2015.