WELLSTAR MEDICAL GROUP, LLC; NPI #1790100170

Contact Information

WELLSTAR MEDICAL GROUP, LLC

3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144-3227

Phone: 470-578-6531
Fax: 470-578-9004
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for WELLSTAR MEDICAL GROUP, LLC

NPI Number	`1790100170`
LBN Legal business name	WELLSTAR MEDICAL GROUP, LLC
Authorized official	NICOLE ASHE - (EXECUTIVE DIRECTOR OF FINANCE)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	02/21/2014
Last updated	05/27/2015 - About 11 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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WELLSTAR MEDICAL GROUP, LLC

Contact Information

Specialty

Student Health

NPI Profile & details for WELLSTAR MEDICAL GROUP, LLC

Reviews for WELLSTAR MEDICAL GROUP, LLC