Organization · Type 2 NPI
Wellstar Medical Group, LLC
Gynecology Physician · Austell, GA
NPI number
1871939405
Active
Practice location
1700 Hospital South Dr, Suite 102
Austell, GA 30106-6810
Fax (678) 398-1929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | None listed |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1871939405
Wellstar Medical Group, LLC's National Provider Identifier is 1871939405, issued on May 22, 2013. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Austell, GA. The record was last updated on Nov 19, 2013.