Organization · Type 2 NPI

Wellstar Medical Group, LLC

Pediatric Anesthesiology Physician · Kennesaw, GA

NPI number 1972905396 Active

Practice location

1180 Ernest W Barrett Pkwy NW, Suite 100
Kennesaw, GA 30144-4534

Fax (770) 644-1119

Specialties and licenses

Taxonomy	Code	License
Pediatric Anesthesiology Physician Primary	207LP3000X	None listed

Pediatric Anesthesiology Physician: An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia …

7 other providers at this address

NPI record

NPI: 1972905396
Entity type: Organization (Type 2)
Issued: Sep 17, 2014
Last updated: Sep 26, 2014
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

<unavail>
Wellstar Pediatric Anesthesia · doing business as

Authorized official

Mrs. Nicole Ashe
Executive Director of Finance
(470) 644-0095

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.

Is this your record? How to update it.

About NPI 1972905396

Wellstar Medical Group, LLC's National Provider Identifier is 1972905396, issued on Sep 17, 2014. The primary taxonomy on file is Pediatric Anesthesiology Physician (207LP3000X), and the practice location is in Kennesaw, GA. The record was last updated on Sep 26, 2014.