Organization · Type 2 NPI

Wellstar Medical Group, LLC

Geriatric Medicine (Family Medicine) Physician · Marietta, GA

NPI number 1275814964 Active

Practice location

3939 Roswell Rd, Suite 240
Marietta, GA 30062-6251

Fax (770) 971-6994

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Geriatric Medicine (Family Medicine) Physician Primary	207QG0300X	None listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

11 other providers at this address

NPI record

NPI: 1275814964
Entity type: Organization (Type 2)
Issued: Sep 8, 2011
Last updated: Nov 19, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Family Medicine & Geriatric Medicine · 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 1275814964

Wellstar Medical Group, LLC's National Provider Identifier is 1275814964, issued on Sep 8, 2011. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Marietta, GA. The record was last updated on Nov 19, 2013.