| Wellstar Neurology & Headache Center | |
|
780 Canton Rd Ne Suite 400 Marietta GA 30060-7298 | |
| (770) 422-3602 | |
| (770) 421-6115 |
| Full Name | Wellstar Neurology & Headache Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 780 Canton Rd Ne, Marietta, Georgia |
| Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4706440095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar Neurology & Headache Center 780 Canton Rd Ne Suite 400 Marietta GA 30060-7298 Ph: (770) 422-3602 | Wellstar Neurology & Headache Center 780 Canton Rd Ne Suite 400 Marietta GA 30060-7298 Ph: (770) 422-3602 |
| NPI Number | 1811380025 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811380025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Georgia) | Primary |
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