Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Lagrange, GA

NPI number 1366023764 Active

Practice location

1524 Lafayette Pkwy
Lagrange, GA 30241-2566

Call (706) 530-2151 Map

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.)

3 other providers at this address

NPI record

NPI: 1366023764
Entity type: Organization (Type 2)
Issued: Apr 16, 2021
Last updated: Apr 16, 2021
Status: Active
Subpart: Yes of Wellstreet of Georgia PC

Other names

Piedmont Urgent Care By Wellstreet · doing business as

Authorized official

Katie Cassarino
Practice Manager
(470) 400-3449

Verify this record

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.

Is this your record? How to update it.

About NPI 1366023764

Wellstreet of Georgia PC's National Provider Identifier is 1366023764, issued on Apr 16, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Lagrange, GA. The record was last updated on Apr 16, 2021.