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Contact Information

WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC
6002 PROFESSIONAL PARKWAY
SUITE 260
DOUGLASVILLE, GA30134
 Phone: 770-942-4822
 Fax: 770-942-5311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC

NPI # 1477560340
LBN Legal business name WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC
Authorized official NICOLE ASHE - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/02/2006
Last updated 07/14/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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