Wellstar Internal Medicine Of Cobb, LLC
Internal Medicine in Austell, GA. Organization (NPI-2).
NPI number1528014107
StatusActive
Last updated in NPPESJul 14, 2008
Details
- NPI
- 1528014107
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellstar Internal Medicine Of Cobb, LLC
- Organization subpart
- Yes
- Enumeration date
- May 26, 2006
- Last updated
- Jul 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1790 Mulkey RdSuite 10
Austell, GA 30106-1122
Phone 770-739-6071 · Fax 770-739-4632
Mailing address
1790 Mulkey RdSuite 10
Austell, GA 30106-1122
Phone 770-739-6071 · Fax 770-739-4632
Authorized official
Nicole Ashe
Executive Director Of Finance
7707925261
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