Organization · Type 2 NPI

Wellstar Medical Group, LLC

Pediatrics Physician · Kennesaw, GA

NPI number 1457771925 Active

Practice location

1180 Ernest W Barrett Pkwy NW, Suite 102B
Kennesaw, GA 30144-4534

Fax (770) 794-6837

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed
Urgent Care Clinic/Center	261QU0200X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

7 other providers at this address

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NPI record

NPI: 1457771925
Entity type: Organization (Type 2)
Issued: Apr 23, 2014
Last updated: Jun 10, 2015
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Pediatric After Hours Care · 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 1457771925

Wellstar Medical Group, LLC's National Provider Identifier is 1457771925, issued on Apr 23, 2014. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 10, 2015.