| Wellstar Cobb Medical Group | |
|
1790 Mulkey Rd Suite 5-a Austell GA 30106-1122 | |
| (770) 732-1055 | |
| (770) 732-0175 |
| Full Name | Wellstar Cobb Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1790 Mulkey Rd, Austell, 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 Cobb Medical Group 1790 Mulkey Rd Suite 5-a Austell GA 30106-1122 Ph: (770) 732-1055 | Wellstar Cobb Medical Group 1790 Mulkey Rd Suite 5-a Austell GA 30106-1122 Ph: (770) 732-1055 |
| NPI Number | 1790081362 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790081362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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