| Wellstar Atlanta Medical Center Pt. B Services | |
|
1000 Corporate Center Dr Ste 200 Morrow GA 30260-4129 | |
| (770) 968-6464 | |
| Not Available |
| Full Name | Wellstar Atlanta Medical Center Pt. B Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Corporate Center Dr Ste 200, Morrow, Georgia |
| Authorized Official Name and Position | Anthony J Budzinski (EVP) |
| Authorized Official Contact | 4706440012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstar Atlanta Medical Center Pt. B Services 1800 Parkway Pl Se Ste 500 Marietta GA 30067-8237 Ph: (470) 956-4981 | Wellstar Atlanta Medical Center Pt. B Services 1000 Corporate Center Dr Ste 200 Morrow GA 30260-4129 Ph: (770) 968-6464 |
| NPI Number | 1740782531 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740782531 | NPI | - | NPPES |
| 000000789A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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