NPI 1124532916

Wellstreet of Georgia PC

Organisation Non-Pharmacy Dispensing Site Atlanta, GA

Practice location

Address: 3617 Roswell Rd NE STE a, Atlanta, GA 30305-1111
Phone: (770) 809-3036
Mailing address: 3350 Riverwood Pkwy SE STE 1850, Atlanta, GA 30339-3300

Authorised official

Name: Brandy Carter
Title: Director
Phone: (404) 996-0344

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Georgia →

Registry record

NPI: 1124532916
Entity type: Organization
NPI issued: 1 Dec 2017
Record last updated: 1 Dec 2017

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.