NPI 1063148286
Wellstreet of Georgia PC
Practice location
- Address
- 3435 Highway 81 STE 101, Loganville, GA 30052-9138
- Phone
- (678) 882-7162
Authorised official
- Name
- Katie Mons
- Title
- Practice Manager
- Phone
- (678) 414-2824
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1063148286
- Entity type
- Organization
- NPI issued
- 29 Jul 2022
- Record last updated
- 29 Jul 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.