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Contact Information

WELLSTAR SMYRNA PRIMARY CARE CENTER, LLC
562 CONCORD ROAD
SMYRNA, GA30082
 Phone: 770-384-9900
 Fax: 770-384-9912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WELLSTAR SMYRNA PRIMARY CARE CENTER LLC · (Female)

NPI Number 1588607212
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2006
Last updated 07/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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