| Wellstar Pediatric & Family Wellness Center, Llc | |
|
1810 Mulkey Rd Suite 201 Austell GA 30106-1151 | |
| (770) 634-2349 | |
| (770) 819-0597 |
| Full Name | Wellstar Pediatric & Family Wellness Center, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1810 Mulkey Rd, Austell, Georgia |
| Authorized Official Name and Position | Nicole Ashe (ASST; VP 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, Llc 1810 Mulkey Rd Suite 201 Austell GA 30106-1151 Ph: (770) 634-2349 | Wellstar Pediatric & Family Wellness Center, Llc 1810 Mulkey Rd Suite 201 Austell GA 30106-1151 Ph: (770) 634-2349 |
| NPI Number | 1073742482 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073742482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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