Wellstar West Cobb Medical Center, Llc | |
3707 Largent Way Nw Marietta GA 30064-1672 | |
(678) 581-5729 | |
(678) 581-5719 |
Full Name | Wellstar West Cobb Medical Center, Llc |
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Speciality | Family Medicine |
Location | 3707 Largent Way Nw, 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 |
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Wellstar West Cobb Medical Center, Llc 3707 Largent Way Nw Marietta GA 30064-1672 Ph: (678) 581-5729 | Wellstar West Cobb Medical Center, Llc 3707 Largent Way Nw Marietta GA 30064-1672 Ph: (678) 581-5729 |
NPI Number | 1396791679 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 07/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396791679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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