NPI 1003561614
Wellstreet of Georgia PC
Practice location
- Address
- 3999 Austell Rd STE 901, Austell, GA 30106-1160
- Phone
- (770) 809-3032
- Fax
- (678) 838-6797
Authorised official
- Name
- Katie Cassarino
- Title
- Practice Manager
- Phone
- (678) 414-2824
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1003561614
- Entity type
- Organization
- NPI issued
- 14 Feb 2022
- Record last updated
- 14 Feb 2022
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.