| Wellstar Infectious Disease, Llc | |
|
55 Whitcher St Ne Suite 220 Marietta GA 30060-1155 | |
| (770) 429-0083 | |
| (770) 425-0137 |
| Full Name | Wellstar Infectious Disease, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 55 Whitcher St Ne, Marietta, 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 Infectious Disease, Llc 55 Whitcher St Ne Suite 220 Marietta GA 30060-1155 Ph: (770) 429-0083 | Wellstar Infectious Disease, Llc 55 Whitcher St Ne Suite 220 Marietta GA 30060-1155 Ph: (770) 429-0083 |
| NPI Number | 1093760282 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093760282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (Georgia) | Primary |
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