NPI 1003572066

Wellstreet of Georgia PC

Organisation Non-Pharmacy Dispensing Site Dallas, GA

Practice location

Address: 500 Nathan Dean Blvd, Dallas, GA 30157-4910
Phone: (770) 573-0777
Mailing address: 3350 Riverwood Pkwy SE STE 1850, Atlanta, GA 30339-3300

Authorised official

Name: Katharyn Cassarino
Title: Practice Manager
Phone: (678) 414-2824

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Georgia →

Registry record

NPI: 1003572066
Entity type: Organization
NPI issued: 15 Nov 2021
Record last updated: 15 Nov 2021

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.