Organization · Type 2 NPI
Wellstreet of Georgia PC
Non-Pharmacy Dispensing Site · Fayetteville, GA
NPI number
1912588310
Active
Practice location
749 Lanier Ave W
Fayetteville, GA 30214-7658
Mailing address
3350 Riverwood Pkwy SE Ste 1850
Atlanta, GA 30339-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.)
Another provider at this address
Other non-pharmacy dispensing site providers in Fayetteville
About NPI 1912588310
Wellstreet of Georgia PC's National Provider Identifier is 1912588310, issued on Apr 16, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fayetteville, GA. The record was last updated on Apr 16, 2021.