Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Locust Grove, GA

NPI number 1720965700 Active

Practice location

3366 Highway 42 S Ste 100
Locust Grove, GA 30248-3014

Fax (470) 759-2090

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Other non-pharmacy dispensing site providers in Locust Grove

See all in Locust Grove →

About NPI 1720965700

Wellstreet of Georgia PC's National Provider Identifier is 1720965700, issued on Aug 20, 2025. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Locust Grove, GA. The record was last updated on Aug 20, 2025.