| Wellstar Pediatric & Family Wellness Center | |
|
1680 Hospital South Dr Austell GA 30106-8110 | |
| (770) 634-2349 | |
| (770) 941-9919 |
| Full Name | Wellstar Pediatric & Family Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1680 Hospital South Dr, Austell, Georgia |
| Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7707925261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar Pediatric & Family Wellness Center 1680 Hospital South Dr Austell GA 30106-8110 Ph: (770) 634-2349 | Wellstar Pediatric & Family Wellness Center 1680 Hospital South Dr Austell GA 30106-8110 Ph: (770) 634-2349 |
| NPI Number | 1851684864 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851684864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (Georgia) | Primary |
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