NPI 1003235383
Wellstar Surgical Associates of Marietta
Practice location
- Address
- 55 Whitcher St NE STE 130, Marietta, GA 30060-1156
- Phone
- (770) 428-0462
- Fax
- (770) 428-0462
- Mailing address
- 195 Applewood Ln, Acworth, GA 30101-2625
Authorised official
- Name
- Anita Joyce Johnson
- Title
- Nurse Practitioner
- Phone
- (770) 428-0462
Registered specialties
Critical Access Hospital
Primary
Registry record
- NPI
- 1003235383
- Entity type
- Organization
- NPI issued
- 15 Apr 2014
- Record last updated
- 16 Apr 2014
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.