NPI 1083907067

Wellstar Medical Group, LLC

Organisation Physical Medicine & Rehabilitation Physician Marietta, GA

Practice location

Address: 100 Lacy St NW Suite 150, Marietta, GA 30060-1271
Phone: (770) 793-7635
Fax: (770) 793-7645

Authorised official

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

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1083907067
Entity type: Organization
NPI issued: 24 May 2011
Record last updated: 19 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.