| Wellstar Towne Lake Medical Center, Llc | |
|
145 N Medical Pkwy Woodstock GA 30189-7031 | |
| (770) 592-3000 | |
| (770) 592-3012 |
| Full Name | Wellstar Towne Lake Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 145 N Medical Pkwy, Woodstock, 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 Towne Lake Medical Center, Llc 145 N Medical Pkwy Woodstock GA 30189-7031 Ph: (770) 592-3000 | Wellstar Towne Lake Medical Center, Llc 145 N Medical Pkwy Woodstock GA 30189-7031 Ph: (770) 592-3000 |
| NPI Number | 1164478426 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164478426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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