Organization · Type 2 NPI

Wellstar Medical Group, LLC

Pediatrics Physician · Marietta, GA

NPI number 1992001952 Active

Practice location

760 Kennesaw Ave NW
Marietta, GA 30060-6909

Fax (770) 427-0788

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

13 other providers at this address

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NPI record

NPI: 1992001952
Entity type: Organization (Type 2)
Issued: Feb 8, 2011
Last updated: Nov 18, 2013
Status: Active
Subpart: Yes of Wellstar Medical Group, LLC

Other names

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Wellstar Kenmar Pediatrics · doing business as

Authorized official

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

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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 1992001952

Wellstar Medical Group, LLC's National Provider Identifier is 1992001952, issued on Feb 8, 2011. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Marietta, GA. The record was last updated on Nov 18, 2013.