Organization · Type 2 NPI
Wellstar Medical Group, LLC
Student Health Clinic/Center · Kennesaw, GA
NPI number
1790100170
Active
Practice location
3215 Campus Loop Rd NW
Kennesaw, GA 30144-3227
Fax (470) 578-9004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
4 other providers at this address
- Caroline Didonato O'Donnell, NPNurse Practitioner Kennesaw, GA NPI 1497865901
- Chelsea Gonzalez, DOFamily Medicine Physician Kennesaw, GA NPI 1184005761
- Confidence Onyirimba, FNP-C, MBAFamily Nurse Practitioner Kennesaw, GA NPI 1649077033
- Iliana I. Vermillion, NP-CFamily Nurse Practitioner Kennesaw, GA NPI 1174077028
Other student health clinic/center providers in Kennesaw
About NPI 1790100170
Wellstar Medical Group, LLC's National Provider Identifier is 1790100170, issued on Feb 21, 2014. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Kennesaw, GA. The record was last updated on May 27, 2015.