Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Acworth, GA

NPI number 1689077562 Active

Practice location

4900 Ivey Rd NW, Suite 1301
Acworth, GA 30101-4142

Fax (770) 790-4964

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.

15 other providers at this address

Other family medicine physician providers in Acworth

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NPI record

NPI: 1689077562
Entity type: Organization (Type 2)
Issued: Oct 6, 2014
Last updated: May 28, 2015
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Family Medicine (governors) · 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 1689077562

Wellstar Medical Group, LLC's National Provider Identifier is 1689077562, issued on Oct 6, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Acworth, GA. The record was last updated on May 28, 2015.