NPI 1114207461

Wellstar Medical Group, LLC

Organisation Psychologist Marietta, GA

Practice location

Address: 55 Whitcher St NE Suite 420, Marietta, GA 30060-1155
Phone: (770) 514-6760
Fax: (770) 794-8034

Authorised official

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

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Georgia →

Registry record

NPI: 1114207461
Entity type: Organization
NPI issued: 18 Aug 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.