National Provider Identifier Database

WELLSTAR MEDICAL GROUP LLC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

WELLSTAR MEDICAL GROUP, LLC
677 CHURCH ST NE
MARIETTA, GA30060-1101
Phone: 770-422-2326
Fax: 770-422-7797
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neuroscience 163WN0800X

* Indicates primary specialty

NPI Profile & details for WELLSTAR MEDICAL GROUP, LLC

NPI Number 1083027320
Legal business name
LBN
WELLSTAR MEDICAL GROUP, LLC
Authorized official NICOLE ASHE - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 06/04/2014
Last updated 06/04/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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