Organization · Type 2 NPI

Wellstar Medical Group, LLC

Family Medicine Physician · Acworth, GA

NPI number 1821352964 Active

Practice location

4550 Cobb Parkway NW, Suite 201
Acworth, GA 30101

Fax (770) 974-7534

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	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.

2 other providers at this address

Other family medicine physician providers in Acworth

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NPI record

NPI: 1821352964
Entity type: Organization (Type 2)
Issued: Jul 3, 2012
Last updated: Jul 3, 2012
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Family Medicine & Internal Medicine Ahp · doing business as

Authorized official

Mrs. Nicole Ashe
Executive Director of Finance
(770) 792-5261

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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 1821352964

Wellstar Medical Group, LLC's National Provider Identifier is 1821352964, issued on Jul 3, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Acworth, GA. The record was last updated on Jul 3, 2012.