Wellstreet Of Georgia PC
Non-Pharmacy Dispensing Site in Austell, GA. Organization (NPI-2).
NPI number1982195343
StatusActive
Last updated in NPPESMay 22, 2018
Details
- NPI
- 1982195343
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellstreet Of Georgia PC
- Organization subpart
- No
- Enumeration date
- May 22, 2018
- Last updated
- May 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | GA | Yes |
Other names
- Piedmont Urgentcare By Wellstreet (Doing Business As)
Practice location
3999 Austell Rd Ste 901Austell, GA 30106-1160
Phone 770-809-3032
Mailing address
3350 Riverwood Pkwy Se Ste 1850Atlanta, GA 30339-3300
Phone 770-809-3036
Authorized official
Samantha Alvord
Practice Manager
7705216690
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