| Wellstar South Cobb Primary Care | |
|
1680 Hospital South Dr Austell GA 30106-8110 | |
| (678) 945-2100 | |
| (770) 941-3870 |
| Full Name | Wellstar South Cobb Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1680 Hospital South Dr, 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 South Cobb Primary Care 1680 Hospital South Dr Austell GA 30106-8110 Ph: (678) 945-2100 | Wellstar South Cobb Primary Care 1680 Hospital South Dr Austell GA 30106-8110 Ph: (678) 945-2100 |
| NPI Number | 1508162173 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508162173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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