| Wellstar Marietta Family Medicine | |
|
114 Cherry St Ne Suite A Marietta GA 30060-7277 | |
| (770) 423-0895 | |
| (770) 429-8628 |
| Full Name | Wellstar Marietta Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 114 Cherry St Ne, Marietta, 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 Marietta Family Medicine 114 Cherry St Ne Suite A Marietta GA 30060-7277 Ph: (770) 423-0895 | Wellstar Marietta Family Medicine 114 Cherry St Ne Suite A Marietta GA 30060-7277 Ph: (770) 423-0895 |
| NPI Number | 1093011637 |
|---|---|
| Provider Enumeration Date | 01/30/2011 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093011637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
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