Wellstar Woodlawn Commons Family Practice | |
1010 Johnson Ferry Rd Marietta GA 30068-2108 | |
(770) 973-7302 | |
(770) 971-6692 |
Full Name | Wellstar Woodlawn Commons Family Practice |
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Speciality | Family Medicine |
Location | 1010 Johnson Ferry 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 |
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Wellstar Woodlawn Commons Family Practice 1010 Johnson Ferry Rd Marietta GA 30068-2108 Ph: (770) 973-7302 | Wellstar Woodlawn Commons Family Practice 1010 Johnson Ferry Rd Marietta GA 30068-2108 Ph: (770) 973-7302 |
NPI Number | 1053617621 |
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Provider Enumeration Date | 01/31/2011 |
Last Update Date | 11/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053617621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Georgia) | Primary |
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