Organization · Type 2 NPI

Wellstar Medical Group, LLC

Clinical Neurophysiology Physician · Marietta, GA

NPI number 1689967697 Active

Practice location

677 Church St NE
Marietta, GA 30060-1101

Fax (770) 793-7997

Specialties and licenses

Taxonomy	Code	License
Clinical Neurophysiology Physician Primary	2084N0600X	None listed

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

487 other providers at this address

NPI record

NPI: 1689967697
Entity type: Organization (Type 2)
Issued: May 24, 2011
Last updated: Nov 18, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

<unavail>
Wellstar Neuropsychology · doing business as

Authorized official

Mrs. Nicole Ashe
Executive Director of Finance
(470) 644-0095

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About NPI 1689967697

Wellstar Medical Group, LLC's National Provider Identifier is 1689967697, issued on May 24, 2011. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Marietta, GA. The record was last updated on Nov 18, 2013.