NPI 1003112640

Wellstar Medical Group, LLC

Organisation Internal Medicine Physician Hiram, GA

Practice location

Address: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141-1836
Phone: (678) 945-8200
Fax: (678) 945-8209

Authorised official

Name: Nicole Ashe
Title: Executive Director of Finance
Phone: (470) 644-0095

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Georgia →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

Registry record

NPI: 1003112640
Entity type: Organization
NPI issued: 30 Jan 2011
Record last updated: 19 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.