| Wellstar Health Ventures | |
|
818 Church St Ne Marietta GA 30060-8969 | |
| (770) 792-5284 | |
| (770) 792-1513 |
| Full Name | Wellstar Health Ventures |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 818 Church St Ne, Marietta, Georgia |
| Authorized Official Name and Position | Tammy M Bennett (REVENUE MANAGEMENT) |
| Authorized Official Contact | 7707925284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar Health Ventures 805 Sandy Plains Rd Attention: Revenue Management Marietta GA 30066-6340 Ph: (770) 792-5284 | Wellstar Health Ventures 818 Church St Ne Marietta GA 30060-8969 Ph: (770) 792-5284 |
| NPI Number | 1275879595 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275879595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PT007517 (Georgia) | Primary |
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