| Wellstreet Of Georgia Pc | |
|
1825 Highway 34 E Ste 1200 Newnan GA 30265-6416 | |
| (770) 502-2121 | |
| (770) 502-2113 |
| Full Name | Wellstreet Of Georgia Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 1825 Highway 34 E Ste 1200, Newnan, Georgia |
| Authorized Official Name and Position | Tonia R Davis (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7708093036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstreet Of Georgia Pc 549 Bullsboro Dr Newnan GA 30265-1045 Ph: (770) 502-2121 | Wellstreet Of Georgia Pc 1825 Highway 34 E Ste 1200 Newnan GA 30265-6416 Ph: (770) 502-2121 |
| NPI Number | 1508239997 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508239997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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