Organization · Type 2 NPI

Wellstreet of Georgia PC

Non-Pharmacy Dispensing Site · Smyrna, GA

NPI number 1891265773 Active

Practice location

1155 Concord Rd SE Ste 200
Smyrna, GA 30080-4207

Call (770) 809-3036 Map

Fax (404) 662-2399

Mailing address

3350 Riverwood Pkwy SE Ste 1850
Atlanta, GA 30339-3300

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Non-Pharmacy Dispensing Site Primary	332900000X	None 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.)

4 other providers at this address

Other non-pharmacy dispensing site providers in Smyrna

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NPI record

NPI: 1891265773
Entity type: Organization (Type 2)
Issued: Dec 4, 2018
Last updated: Nov 13, 2019
Status: Active

Other names

<unavail>
Piedmont Urgentcare By Wellstreet · doing business as
Piedmont Urgentcare By Wellstreet · doing business as

Authorized official

Tonia Rana Davis
Credentialing Coordinator
(770) 809-3036

Verify this record

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 1891265773

Wellstreet of Georgia PC's National Provider Identifier is 1891265773, issued on Dec 4, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Smyrna, GA. The record was last updated on Nov 13, 2019.