NPI 1003171422

Wellstar Medical Group, LLC

Organisation Internal Medicine Physician Acworth, GA

Practice location

Address: 4550 Cobb Parkway North NW Suite 201b, Acworth, GA 30101-4180
Phone: (770) 917-8160
Fax: (770) 529-1167

Authorised official

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

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1003171422
Entity type: Organization
NPI issued: 11 Jul 2012
Record last updated: 18 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.