Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Kennesaw, GA

NPI number 1558664003 Active

Practice location

5150 Stilesboro Rd NW, Suite 120
Kennesaw, GA 30152-7744

Fax (678) 354-0828

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.

33 other providers at this address

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NPI record

NPI: 1558664003
Entity type: Organization (Type 2)
Issued: Dec 6, 2010
Last updated: Nov 19, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Family Medicine Acw · 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 1558664003

Wellstar Medical Group, LLC's National Provider Identifier is 1558664003, issued on Dec 6, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kennesaw, GA. The record was last updated on Nov 19, 2013.