Organization · Type 2 NPI
Wellstreet of Georgia PC
Non-Pharmacy Dispensing Site · Fairburn, GA
NPI number
1326612987
Active
Practice location
8028 Senoia Rd, Ste 200
Fairburn, GA 30213
Mailing address
3350 Riverwood Pkwy SE Ste 1850
Atlanta, GA 30339-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None 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.)
About NPI 1326612987
Wellstreet of Georgia PC's National Provider Identifier is 1326612987, issued on May 18, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fairburn, GA. The record was last updated on May 18, 2021.