NPI 1104523661
Wellstreet of Georgia PC
Practice location
- Address
- 1043 Old Peachtree Rd NW, Lawrenceville, GA 30043
- Phone
- (678) 335-5400
- Fax
- (678) 335-5401
Authorised official
- Name
- Katie Mons
- Title
- Practice Manager
- Phone
- (678) 414-2824
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1104523661
- Entity type
- Organization
- NPI issued
- 14 Feb 2023
- Record last updated
- 14 Feb 2023
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.