Organization · Type 2 NPI

Wellstar Medical Group, LLC

Child & Adolescent Psychiatry Physician · Austell, GA

NPI number 1851684864 Active

Practice location

1680 Hospital South Dr
Austell, GA 30106-8110

Fax (770) 941-9919

Specialties and licenses

Taxonomy	Code	License
Child & Adolescent Psychiatry Physician Primary	2084P0804X	None listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

14 other providers at this address

Other child & adolescent psychiatry physician providers in Austell

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NPI record

NPI: 1851684864
Entity type: Organization (Type 2)
Issued: May 24, 2011
Last updated: May 24, 2011
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Pediatric & Family Wellness Center · 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 1851684864

Wellstar Medical Group, LLC's National Provider Identifier is 1851684864, issued on May 24, 2011. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Austell, GA. The record was last updated on May 24, 2011.