| Wellstar Shallowford Medical Center | |
|
3921 Shallowford Rd Marietta GA 30062-5013 | |
| (770) 649-9100 | |
| (770) 649-9092 |
| Full Name | Wellstar Shallowford Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3921 Shallowford Rd, 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 Shallowford Medical Center 3921 Shallowford Rd Marietta GA 30062-5013 Ph: (770) 649-9100 | Wellstar Shallowford Medical Center 3921 Shallowford Rd Marietta GA 30062-5013 Ph: (770) 649-9100 |
| NPI Number | 1174829741 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174829741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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