National Provider Identifier Database

WELLSTAR MEDICAL GROUP LLC
Student Health


Contact Information

WELLSTAR MEDICAL GROUP, LLC
1000 TECHNOLOGY WAY SUITE 1107
MARIETTA, GA30060
Phone: 470-578-6644
Fax: 470-578-9205
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for WELLSTAR MEDICAL GROUP, LLC

NPI Number 1497616742
Legal business name
LBN
WELLSTAR MEDICAL GROUP, LLC
Authorized official CHHAVI NOOHANI - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/18/2025
Last updated 11/18/2025 - About 7 months 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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