Organization · Type 2 NPI

Wellstar Medical Group, LLC

Endocrinology, Diabetes & Metabolism Physician · Marietta, GA

NPI number 1629374681 Active

Practice location

625 Church St NE
Marietta, GA 30060-1101

Call (770) 422-2004 Map

Fax (770) 422-8465

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Endocrinology, Diabetes & Metabolism Physician Primary	207RE0101X	None listed

Endocrinology, Diabetes & Metabolism Physician: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5 other providers at this address

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NPI record

NPI: 1629374681
Entity type: Organization (Type 2)
Issued: Feb 8, 2011
Last updated: Nov 18, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Medical Specialists · 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 1629374681

Wellstar Medical Group, LLC's National Provider Identifier is 1629374681, issued on Feb 8, 2011. The primary taxonomy on file is Endocrinology, Diabetes & Metabolism Physician (207RE0101X), and the practice location is in Marietta, GA. The record was last updated on Nov 18, 2013.